Science.gov

Sample records for floating knee epidemiology

  1. Epidemiology of jumper's knee.

    PubMed

    Ferretti, A

    1986-01-01

    Jumper's knee is a typical functional overload injury because it affects those athletes who submit their knee extensor mechanisms to intense and repeated stress, e.g. volleyball and basketball players, high and long jumpers. According to the classification of Perugia and colleagues, it is an insertional tendinopathy affecting, in order of frequency, the insertion of the patellar tendon into the patella (65% of cases), attachment of the quadriceps tendon to the patella (25%) and the attachment of the patellar tendon to the tibial tuberosity (10%). The frequent occurrence of this injury in athletes led to the study of factors that may contribute to its onset and aggravation. These factors are divided into extrinsic (i.e. kind of sport practised and training methods used) and intrinsic (i.e. connected with the somatic and morphological characteristics of the athletes). On the basis of our experience and after a review of the literature it appears, contrary to what has been repeatedly claimed in the past, the extrinsic factors are more important than the intrinsic in the aetiology of jumper's knee. The effect of traumatic incidents and use of elastic kneecap guards should also be considered negligible. The intrinsic causes of jumper's knee, can be sought in the mechanical properties of tendons (resistance, elasticity and extensibility) rather than in morphological or biomechanical abnormalities of the knee extensor mechanism.

  2. The floating knee in the pediatric patient. Nonoperative versus operative stabilization.

    PubMed

    Yue, J J; Churchill, R S; Cooperman, D R; Yasko, A W; Wilber, J H; Thompson, G H

    2000-07-01

    The results of nonoperative and operative or rigid stabilization of ipsilateral femur and tibia fractures in children and adolescents were evaluated. Twenty-nine consecutive patients with open physes (30 affected extremities) were reviewed. Their mean followup was 8.6 years (range, 1.1-18.6 years). The nonoperative group consisted of 16 patients and 16 extremities treated by skeletal traction of the femoral fracture, closed reduction and splinting or casting of the tibia fractures, and eventual immobilization in a hip spica cast. The operative group, was comprised of 13 patients and 14 extremities in which one or both fractures were treated by open reduction and internal fixation, intramedullary fixation, or external fixation. Despite higher modified injury severity scores and skeletal injury scores, the patients who were treated operatively had a significantly reduced hospital stay, 20.1 days versus 34.9 days, respectively; decreased time to unsupported weightbearing, 16.8 weeks compared with 22.3 weeks, respectively; and fewer complications. Operative stabilization of the femur had a significant effect on decreasing the length of hospital stay and the time to unassisted weightbearing. The patients also were analyzed according to their age at the time of injury: 9 years of age or younger and 10 years of age and older. The younger children who were treated nonoperatively had an increased rate of lower extremity length discrepancy, angular malunion, and need for a secondary surgical procedure as compared with younger children who were treated operatively with rigid fixation. Based on the results of the current study, operative stabilization of at least the femur fracture and, preferably, both fractures in the treatment of a child with a floating knee is recommended, even for younger children.

  3. Epidemiology of knee osteoarthritis in India and related factors

    PubMed Central

    Pal, Chandra Prakash; Singh, Pulkesh; Chaturvedi, Sanjay; Pruthi, Kaushal Kumar; Vij, Ashok

    2016-01-01

    Background: Among the chronic rheumatic diseases, hip and knee osteoarthritis (OA) is the most prevalent and is a leading cause of pain and disability in most countries worldwide. Its prevalence increases with age and generally affects women more frequently than men. OA is strongly associated with aging and heavy physical occupational activity, a required livelihood for many people living in rural communities in developing countries. Determining region-specific OA prevalence and risk factor profiles will provide important information for planning future cost effective preventive strategies and health care services. Materials and Methods: The study was a community based cross sectional study to find out the prevalence of primary knee OA in India which has a population of 1.252 billion. The study was done across five sites in India. Each site was further divided into big city, small city, town, and village. The total sample size was 5000 subjects. Tools consisted of a structured questionnaire and plain skiagrams for confirmation of OA. Diagnosis was done using Kellgren and Lawrence scale for osteoarthritis. Results: Overall prevalence of knee OA was found to be 28.7%. The associated factors were found to be female gender (prevalence of 31.6%) (P = 0.007), obesity (P = 0.04), age (P = 0.001) and sedentary work (P = 0.001). Conclusions: There is scarcity of studies done in India which has varied socio geographical background and communities. We conducted this study for analyzing the current prevalence of OA in different locations. This study has evidenced a large percentage of population as borderline OA; therefore, it depends mainly on the prevention of modifiable risk factors to preserve at ease movement in elderly population through awareness programs. PMID:27746495

  4. Epidemiology and Impact of Knee Injuries in Major and Minor League Baseball Players.

    PubMed

    Dahm, Diane L; Curriero, Frank C; Camp, Christopher L; Brophy, Robert H; Leo, Tony; Meister, Keith; Paletta, George A; Steubs, John A; Mandelbaum, Bert R; Pollack, Keshia M

    2016-01-01

    Few studies have explored the frequency and impact of lower extremity injuries, such as those to the knee, among professional baseball players. The purpose of this study was to detail the epidemiology of knee injuries in Major League Baseball (MLB) and Minor League Baseball (MiLB) players during the 2011-2014 seasons. It was hypothesized that knee injuries are a common occurrence in these athletes, and represent a significant source of time away from play. The MLB Health and Injury Tracking System database was searched to identify all patients diagnosed with knee injuries during the 2011-2014 seasons. All injuries that occurred during the preseason, regular season, and postseason that resulted in time away from play were included. Injury data analyzed included total number of knee injuries, specific diagnoses, injury mechanisms, locations, player positions, and time lost. Descriptive statistics were conducted and injury rates per athlete-exposures were calculated. During the 2011-2014 seasons, a total of 2171 knee injuries occurred in MLB and MiLB players, representing 6.5% of all injuries in professional baseball. The knee injury rate across both the MLB and MiLB was 1.2 per 1000 athlete-exposures. The mean number of days missed per injury across both leagues was 16.2 with a total of 30,449 days of missed play amongst all athletes over the 4 seasons. Injuries to the knee were the fifth most common cause of missed time in all of baseball, and the fourth most common reason for missed games in the MLB alone. Approximately 12% of all injuries required surgical intervention. The most common mechanism of injury was noncontact (44%), and base runners were injured more frequently than any other position (24%). The infield (30%) and home plate (23%) were the most common locations in which injuries occurred. These data can be utilized for targeted injury prevention initiatives.

  5. Epidemiology and Impact of Knee Injuries in Major and Minor League Baseball Players.

    PubMed

    Dahm, Diane L; Curriero, Frank C; Camp, Christopher L; Brophy, Robert H; Leo, Tony; Meister, Keith; Paletta, George A; Steubs, John A; Mandelbaum, Bert R; Pollack, Keshia M

    2016-01-01

    Few studies have explored the frequency and impact of lower extremity injuries, such as those to the knee, among professional baseball players. The purpose of this study was to detail the epidemiology of knee injuries in Major League Baseball (MLB) and Minor League Baseball (MiLB) players during the 2011-2014 seasons. It was hypothesized that knee injuries are a common occurrence in these athletes, and represent a significant source of time away from play. The MLB Health and Injury Tracking System database was searched to identify all patients diagnosed with knee injuries during the 2011-2014 seasons. All injuries that occurred during the preseason, regular season, and postseason that resulted in time away from play were included. Injury data analyzed included total number of knee injuries, specific diagnoses, injury mechanisms, locations, player positions, and time lost. Descriptive statistics were conducted and injury rates per athlete-exposures were calculated. During the 2011-2014 seasons, a total of 2171 knee injuries occurred in MLB and MiLB players, representing 6.5% of all injuries in professional baseball. The knee injury rate across both the MLB and MiLB was 1.2 per 1000 athlete-exposures. The mean number of days missed per injury across both leagues was 16.2 with a total of 30,449 days of missed play amongst all athletes over the 4 seasons. Injuries to the knee were the fifth most common cause of missed time in all of baseball, and the fourth most common reason for missed games in the MLB alone. Approximately 12% of all injuries required surgical intervention. The most common mechanism of injury was noncontact (44%), and base runners were injured more frequently than any other position (24%). The infield (30%) and home plate (23%) were the most common locations in which injuries occurred. These data can be utilized for targeted injury prevention initiatives. PMID:26991584

  6. Reliability and Validity of the Anterior Knee Pain Scale: Applications for Use as an Epidemiologic Screener

    PubMed Central

    2016-01-01

    A screening instrument’s ability to provide clinicians with consistent and reproducible information is crucial to intervention. Despite widespread acceptance and clinical use of the Kujala Anterior Knee Pain Scale (AKPS) in orthopedics and sports medicine, few studies have reported on its reliability and no such studies have concentrated on child or adolescent samples exclusively, segments of the population for which this instrument is often used. The purpose of the current study was to describe and report on the reliability and validity of the AKPS for use with high school female athletes participating in interscholastic athletics. The study was a secondary analysis of prospective epidemiologic data using established scale validation methods. The records of 414 female athletes 11.0 to 18.1 years of age (Mean 13.9 yrs, SD = 1.7 yrs) were used for analysis. Four different approaches to scoring and scale reduction of the AKPS were evaluated, including the original, ordinal 13-item form, a modified, ordinal 6-item form, a modified, dichotomous 13-item form, and a modified, dichotomous 6-item form. Three different types of reliability (internal consistency, equivalence across forms, standard error of measurement) and one type of validity (criterion-related) were estimated for the AKPS in the current sample. The four scoring formats of the AKPS scale were found to have high internal consistency (αcoef = 0.83 to 0.91), equivalence across the short and long forms (r = 0.98), acceptable standard errors of measurement (0.82 to 3.00), and moderate to high criterion related validity—as determined by physican’s diagnosis: 0.92 (13-item form), 0.90 (6-item form). The Kujala AKPS is a valid and reliable measure of anterior knee pain and appropriate for use as an epidemiologic screening tool with adolescent female athletes. PMID:27441381

  7. EPIDEMIOLOGY OF KNEE INJURIES AMONG US HIGH SCHOOL ATHLETES, 2005/06–2010/11

    PubMed Central

    Swenson, David M.; Collins, Christy L.; Best, Thomas M.; Flanigan, David C.; Fields, Sarah K.; Comstock, R. Dawn

    2012-01-01

    Purpose US high school athletes sustain millions of injuries annually. Detailed patterns of knee injuries, among the most costly sports injuries, remain largely unknown. We hypothesize that patterns of knee injuries in US high school sports differ by sport and gender. Methods US High school sports-related injury data were collected for 20 sports using the National High School Sports-Related Injury Surveillance System, High School RIO™. Knee injury rates, rate ratios, and injury proportion ratios were calculated. Results From 2005/06–2010/11, 5,116 knee injuries occurred during 17,172,376 athlete exposures (AEs) for an overall rate of 2.98 knee injuries per 10,000 AEs. Knee injuries were more common in competition than practice (RR 3.53, 95% CI 3.34–3.73). Football had the highest knee injury rate (6.29 per 10,000 AEs) followed by girls’ soccer (4.53) and girls’ gymnastics (4.23). Girls had significantly higher knee injury rates than boys in gender-comparable sports (soccer, volleyball, basketball, baseball/softball, lacrosse, swimming and diving, and track and field) (RR 1.52, 95% CI 1.39–1.65). The most commonly involved structure was the MCL (reported in 36.1% of knee injuries), followed by the patella/patellar tendon (29.5%), ACL (25.4%), meniscus (23.0%), LCL (7.9%), and PCL (2.4%). Girls were significantly more likely to sustain ACL injuries in gender-comparable sports (RR 2.38, 95% CI 1.91–2.95). Overall, 21.2% of knee injuries were treated with surgery; girls were more often treated with surgery than boys in gender-comparable sports (IPR 1.30, 95% CI 1.11–1.53). Conclusions Knee injury patterns differ by sport and gender. Continuing efforts to develop preventive interventions could reduce the burden of these injuries. PMID:23059869

  8. Prospective epidemiological study of basketball injuries during one competitive season: ankle sprains and overuse knee injuries.

    PubMed

    Cumps, Elke; Verhagen, Evert; Meeusen, Romain

    2007-01-01

    This prospective cohort study aims to assess the overall incidence of acute and overuse basketball injuries and identifies risk factors associated with ankle sprains and knee overuse injuries. In total, 164 senior players (23.7 years ± 7.0) of all levels of play, and including both men and women, participated voluntarily during one season. A total of 139 acute and 87 overuse injuries were reported, resulting in an overall injury incidence of 9.8 (8.5 to 11.1) per 1,000 hours. The incidence of acute injuries was 6.0/1,000 hours. Ankle sprains (n = 34) accounted for most acute injuries, and 52.9% of all players with ankle sprains reported a previous ankle sprain. Relative Risks (RR) and Odds Ratio (OR) with their 95% Confidence Intervals (CI) were calculated to determine significant differences. Landing on an opponent's foot was the major inciting event, significantly more so than non contact mechanisms (RR=2.1 [95% CI: 1.0-4.2]). Acute knee injuries resulted in the highest playing absence (7 weeks 2 days ± 9 weeks 1 day). Overuse injury incidence was 3.8/1,000 hours. The knee (1.5/1,000 hours) was the most common site. Forward players sustained less knee overuse injuries than players of all other playing positions, and significantly less than center players (OR=0.5 [95% CI: 0.2-0.9]). This study showed that ankle sprains and overuse knee injuries are the most common injuries in basketball, both accounting for 14.8%. Injury prevention programmes however should not concentrate on those injuries only, but might one to consider that acute knee injuries, in spite of the fact that they occur less frequently, also merit further research. Key pointsAnkle sprains are the most common acute injuries in basketball with the inciting event being landing on an opponent's foot or changing direction.Anterior knee pain is the most common overuse injury. Etiologic factors are well described in literature, but prevention strategies are lacking.Acute knee injuries account for the

  9. Floating patella associated with lymphoedema

    PubMed Central

    Vun, Shen Hwa; Bayam, Levent; Drampalos, Efstathios; Jesry, Mohammed; Fadel, George

    2015-01-01

    Ipsilateral injury of more than one component of the knee extensor apparatus is rare. It is mostly associated with previous trauma, surgery, immunosuppression therapy and systemic disease. We present the first documented case of a spontaneous bifocal disruption of the knee extensor apparatus (i.e. floating patella) associated with lymphoedema. This case highlights the importance of considering lymphoedema as another risk factor for rupture of the knee extensor apparatus. It also highlights the importance of assessing all components of the knee extensor apparatus in patients presenting with acute knee injuries. PMID:25802253

  10. Knee pain

    MedlinePlus

    Pain - knee ... Knee pain can have different causes. Being overweight puts you at greater risk for knee problems. Overusing your knee can trigger knee problems that cause pain. If you have a history of arthritis, it ...

  11. Stools - floating

    MedlinePlus

    ... absorption of nutrients ( malabsorption ) or too much gas (flatulence). Considerations Most causes of floating stools are harmless. ... Bailey J. FPIN's Clinical Inquiries: Effective management of flatulence. Am Fam Physician Ohge H, Levitt MD. Intestinal ...

  12. Knee Replacement

    MedlinePlus

    Knee replacement is surgery for people with severe knee damage. Knee replacement can relieve pain and allow you to ... Your doctor may recommend it if you have knee pain and medicine and other treatments are not ...

  13. On floats and float tests

    NASA Technical Reports Server (NTRS)

    Seewald, Friedrich

    1931-01-01

    The principal source of information on float resistance is the model test. In view of the insuperable difficulties opposing any attempt at theoretical treatment of the resistance problem, particularly at attitudes which tend toward satisfactory take-off, such as the transitory stage to planing, the towing test is and will remain the primary method for some time.

  14. An expert-based job exposure matrix for large scale epidemiologic studies of primary hip and knee osteoarthritis: The Lower Body JEM

    PubMed Central

    2014-01-01

    Background When conducting large scale epidemiologic studies, it is a challenge to obtain quantitative exposure estimates, which do not rely on self-report where estimates may be influenced by symptoms and knowledge of disease status. In this study we developed a job exposure matrix (JEM) for use in population studies of the work-relatedness of hip and knee osteoarthritis. Methods Based on all 2227 occupational titles in the Danish version of the International Standard Classification of Occupations (D-ISCO 88), we constructed 121 job groups comprising occupational titles with expected homogeneous exposure patterns in addition to a minimally exposed job group, which was not included in the JEM. The job groups were allocated the mean value of five experts’ ratings of daily duration (hours/day) of standing/walking, kneeling/squatting, and whole-body vibration as well as total load lifted (kg/day), and frequency of lifting loads weighing ≥20 kg (times/day). Weighted kappa statistics were used to evaluate inter-rater agreement on rankings of the job groups for four of these exposures (whole-body vibration could not be evaluated due to few exposed job groups). Two external experts checked the face validity of the rankings of the mean values. Results A JEM was constructed and English ISCO codes were provided where possible. The experts’ ratings showed fair to moderate agreement with respect to rankings of the job groups (mean weighted kappa values between 0.36 and 0.49). The external experts agreed on 586 of the 605 rankings. Conclusion The Lower Body JEM based on experts’ ratings was established. Experts agreed on rankings of the job groups, and rankings based on mean values were in accordance with the opinion of external experts. PMID:24927760

  15. Knee Bracing: What Works?

    MedlinePlus

    MENU Return to Web version Knee Bracing: What Works? Knee Bracing: What Works? What are knee braces? Knee braces are supports ... have arthritis in their knees. Do knee braces work? Maybe. Companies that make knee braces claim that ...

  16. Floating Point Control Library

    2007-08-02

    Floating Point Control is a Library that allows for the manipulation of floating point unit exception masking funtions control exceptions in both the Streaming "Single Instruction, Multiple Data" Extension 2 (SSE2) unit and the floating point unit simultaneously. FPC also provides macros to set floating point rounding and precision control.

  17. Lipohemarthrosis of the knee: MR imaging.

    PubMed

    Kier, R; McCarthy, S M

    1990-01-01

    Two patients with sports-related knee injuries underwent magnetic resonance (MR) imaging, which demonstrated intracapsular fractures and effusions with a signal pattern characteristic of lipohemarthrosis. Four distinct signal bands were identified: superior band representing floating fat, a central band containing serum, an inferior band of dependent red blood cells, and a thin band representing chemical shift artifact at the interface of serum and floating fat.

  18. Knee Injuries

    MedlinePlus

    ... Sprains A sprain means you've stretched or torn a ligament. Common knee sprains usually involve damage ... A strain means you've partly or completely torn a muscle or tendon. With knee strains, you ...

  19. Prophylactic Knee Braces: Where Do They Stand?

    ERIC Educational Resources Information Center

    McCarthy, Paul

    1988-01-01

    The effectiveness of knee braces in preventing knee injuries in football is inconclusive. This article reviews research from epidemiologic, cadaver, and surrogate studies; discusses reasons for conflicting study results, including research design problems; and describes alternative approaches that have been suggested. (IAH)

  20. The epidemiological and clinical features of primary giant cell tumor around the knee: A report from the multicenter retrospective study in china

    PubMed Central

    Lin, Fengsong; Hu, Yongcheng; Zhao, Liming; Zhang, Huilin; Yu, Xiuchun; Wang, Zhen; Ye, Zhaoming; Wu, Sujia; Guo, Shibing; Zhang, Guochuan; Wang, Jinghua

    2016-01-01

    Objectives We aimed to determine the demographic characteristics of giant cell tumor around the knee in China. Methods Between March 2000 and June 2014, patients with primary giant cell tumor around the knee were recruited from 6 institutions located in different regions of China, and were reviewed retrospectively the clinical features according to gender and age. Results 334 qualified patients were included in this study. The sex ratio was 1.14:1 (178/156), with mean ages of 36.9 years in men and 33.1 years in women, constituting a significant difference (P=0.007). The prevalence of pathological fracture was 32.9% overall (28.7% in men and 37.8% in women). The prevalence of simple fracture was significantly higher in women (26.3%) than in men (15.2%), P=0.042. Tumor location and staging did not differ significantly according to sex (P>0.05). However, comparing with >40 years old, those patients aged ≤40 were more likely to have a right knee tumor (56.7% vs. 44.7%, P=0.042), less likely to have Enneking stage 3 disease (18.6% vs. 35.0%, P=0.005), and less likely to have both soft-tissue extension and a mass (18.6% vs. 34.0%, P=0.009). Conclusions Giant cell tumor around the knee was more common in men than in women, although female patients were younger on average. Further, cases among patients ≤40 years old were observed to be milder than cases among older patients. The results suggest that efficient treatment and preservation of function should both be valued for young patients with giant cell tumor around the knee. PMID:26998425

  1. WindWaveFloat

    SciTech Connect

    Weinstein, Alla

    2011-11-01

    Presentation from the 2011 Water Peer Review includes in which principal investigator Alla Weinstein discusses project progress in development of a floating offshore wind structure - the WindFloat - and incorporation therin of a Spherical Wave Energy Device.

  2. The Design of Floats

    NASA Technical Reports Server (NTRS)

    Sottorf, W

    1938-01-01

    Following a summary of the multiplicity of domestic and foreign floats and a brief enumeration of the requirements of floats, the essential form parameters and their effect on the qualities of floats are detailed. On this basis a standard float design is developed which in model families with varying length/beam ratio and angle of dead rise is analyzed by an experimental method which permits its best utilization on any airplane.

  3. Knee injuries in female athletes.

    PubMed

    Hutchinson, M R; Ireland, M L

    1995-04-01

    Female athletes are at increased risk for certain sports-related injuries, particularly those involving the knee. Factors that contribute to this increased risk are the differences in sports undertaken and in gender anatomy and structure. Gender differences include baseline level of conditioning, lower extremity alignment, physiological laxity, pelvis width, tibial rotation and foot alignment. Sports like gymnastics and cheerleading create a noncontact environment, but can result in significant knee injuries. In quick stopping and cutting sports, females have an increased incidence of anterior cruciate ligament (ACL) injury by noncontact mechanisms. Patellofemoral (PF) disorders are also very common in female athletes. Awareness of these facts helps the sports medicine professional make an accurate diagnosis and institute earlier treatment-focused rehabilitation with or without surgery. Further prospective and retrospective research is needed in areas of epidemiology, mechanisms, severity and types of knee injuries. The goal is to lessen the severity of certain knee injuries and to prevent others. PMID:7604201

  4. Runner's Knee

    MedlinePlus

    ... Over the summer he bought a pair of running shoes and took up jogging. He started with ... bending the knee — when walking, kneeling, squatting, or running, for example. Walking or running downhill or even ...

  5. Float Zone Workshop

    NASA Technical Reports Server (NTRS)

    Naumann, R. J.

    1980-01-01

    A summary of the Analytical Float Zone Experiment System (AFZES) concept is presented. The types of experiments considered for such a facility are discussed. Reports from various industrial producers and users of float zone material are presented. Special emphasis is placed on state-of-the-art developments in low gravity manufacturing and their applications to space processing.

  6. Knee Dislocations

    PubMed Central

    Schenck, Robert C.; Richter, Dustin L.; Wascher, Daniel C.

    2014-01-01

    Background: Traumatic knee dislocation is becoming more prevalent because of improved recognition and increased exposure to high-energy trauma, but long-term results are lacking. Purpose: To present 2 cases with minimum 20-year follow-up and a review of the literature to illustrate some of the fundamental principles in the management of the dislocated knee. Study Design: Review and case reports. Methods: Two patients with knee dislocations who underwent multiligamentous knee reconstruction were reviewed, with a minimum 20-year follow-up. These patients were brought back for a clinical evaluation using both subjective and objective measures. Subjective measures include the following scales: Lysholm, Tegner activity, visual analog scale (VAS), Short Form–36 (SF-36), International Knee Documentation Committee (IKDC), and a psychosocial questionnaire. Objective measures included ligamentous examination, radiographic evaluation (including Telos stress radiographs), and physical therapy assessment of function and stability. Results: The mean follow-up was 22 years. One patient had a vascular injury requiring repair prior to ligament reconstruction. The average assessment scores were as follows: SF-36 physical health, 52; SF-36 mental health, 59; Lysholm, 92; IKDC, 86.5; VAS involved, 10.5 mm; and VAS uninvolved, 2.5 mm. Both patients had excellent stability and were functioning at high levels of activity for their age (eg, hiking, skydiving). Both patients had radiographic signs of arthritis, which lowered 1 subject’s IKDC score to “C.” Conclusion: Knee dislocations have rare long-term excellent results, and most intermediate-term studies show fair to good functional results. By following fundamental principles in the management of a dislocated knee, patients can be given the opportunity to function at high levels. Hopefully, continued advances in the evaluation and treatment of knee dislocations will improve the long-term outcomes for these patients in the

  7. Knee Injuries and Disorders

    MedlinePlus

    Your knee joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the knee joint move. When any of these structures is hurt or diseased, you have knee problems. Knee problems can cause pain and difficulty ...

  8. Floating emitter solar cell

    NASA Technical Reports Server (NTRS)

    Chih, Sah (Inventor); Cheng, Li-Jen (Inventor)

    1987-01-01

    A front surface contact floating emitter solar cell transistor is provided in a semiconductor body (n-type), in which floating emitter sections (p-type) are diffused or implanted in the front surface. Between the emitter sections, a further section is diffused or implanted in the front surface, but isolated from the floating emitter sections, for use either as a base contact to the n-type semiconductor body, in which case the section is doped n+, or as a collector for the adjacent emitter sections.

  9. Reverse floating first metatarsal and floating third metatarsal with Lisfranc fracture dislocation: an unusual injury.

    PubMed

    Singh, Arun Pal; Singh, Ajay Pal; Chadha, Manish

    2010-01-01

    A 25-year-old man complained of severe pain in the right foot after a traffic accident. There was a wound on the medial aspect of the foot extending over the length of the first metatarsal. There was no sign of vascular compromise and sensations were intact. Radiographs showed dislocation of the first tarsometatarsal (Lisfranc) and metatarsophalangeal joints with the head of the first metatarsal facing proximally and plantarward (reverse floating first metatarsal), a segmental fracture of the second metatarsal, fracture dislocation of the third metatarsal from the metatarsophalangeal and tarsometatarsal joints (floating third metatarsal), and fractures at the base of the fourth and fifth metatarsals and of cuneiforms. Open reduction and internal fixation were performed. The metatarsal head was buttonholed through the capsule and muscles and was released and reduced. The fractured second metatarsal was reduced and stabilized with a K-wire. The third floating metatarsal was aligned and fixed with a K-wire. A below-knee posterior plaster splint was applied for six weeks. Full weight bearing was started at 10 weeks. The patient returned to his activities with only minimal discomfort. This is the first reported case of plantar Lisfranc dislocation and reverse floating first metatarsal.

  10. Floating Magnet Demonstration.

    ERIC Educational Resources Information Center

    Wake, Masayoshi

    1990-01-01

    A room-temperature demonstration of a floating magnet using a high-temperature superconductor is described. The setup and operation of the apparatus are described. The technical details of the effect are discussed. (CW)

  11. Micromechanisms with floating pivot

    DOEpatents

    Garcia, Ernest J.

    2001-03-06

    A new class of tilting micromechanical mechanisms have been developed. These new mechanisms use floating pivot structures to relieve some of the problems encountered in the use of solid flexible pivots.

  12. Stabilized floating platforms

    DOEpatents

    Thomas, David G.

    1976-01-01

    The subject invention is directed to a floating platform for supporting nuclear reactors and the like at selected offshore sites. The platform is provided with a stabilizer mechanism which significantly reduces the effects of wave action upon the platform and which comprises a pair of relatively small floats attached by rigid booms to the platform at locations spaced therefrom for reducing wave pitch, acceleration, and the resonance period of the wave.

  13. [Jumper's knee].

    PubMed

    Hagner, W; Sosnowski, S; Kaziński, W; Frankowski, S

    1993-01-01

    A series of 30 athletes aged about 16 years on an average, exposed to activities putting a strain on the patellar tendon during training has been examined. They were involved in competitive sports for 3 years on an average. In 27 per cent of them jumpers knee symptoms have been found.

  14. Jumper's knee.

    PubMed

    Ferretti, A; Ippolito, E; Mariani, P; Puddu, G

    1983-01-01

    Jumper's knee (patellar or quadriceps tendon tendonitis) is found in a high number of athletes, especially in volleyball and basketball players. Conservative treatment (rest, stretching, physical therapy and antiinflammatory drugs) is usually successful. The athletes often recover completely and resume their sports activity. The purpose of this study is to present the histologic findings and our surgical repair of 18 knees of patients who underwent surgery after failure of conservative treatment. Histologic findings confirm that the so-called "jumper's knee" is a pathology localized at the bone-tendon junction. In all cases the following abnormalities were found: pseudocystic cavities at the borderline between mineralized fibrocartilage and bone, disappearance of the "blue line," increased thickness of the insertional fibrocartilage with myxomatous and hyaline metaplasia, mineralization, and ossification of the fibrocartilage far from the "blue line." Abnormalities of the patellar tendon were observed only in one patient who received local injection of corticosteroids. Eleven of the 18 surgically treated knees obtained a satisfactory result with complete resumption of sports activity.

  15. Knee microfracture surgery

    MedlinePlus

    ... knee: a 2-year randomised study. Knee Surg Sports Traumatol Arthrosc . 2010 Apr;18(4):519-27. Hurst JM, Steadman JR, O'Brien L, Rodkey WG, Briggs KK. Rehabilitation following microfracture for chondral injury in the knee. ...

  16. Floating nut retention system

    NASA Technical Reports Server (NTRS)

    Charles, J. F.; Theakston, H. A. (Inventor)

    1980-01-01

    A floating nut retention system includes a nut with a central aperture. An inner retainer plate has an opening which is fixedly aligned with the nut aperture. An outer retainer member is formed of a base plate having an opening and a surface adjacent to a surface of the inner retainer plate. The outer retainer member includes a securing mechanism for retaining the inner retainer plate adjacent to the outer retainer member. The securing mechanism enables the inner retainer plate to float with respect to the outer retainer number, while simultaneously forming a bearing surface for inner retainer plate.

  17. Tethered float liquid level sensor

    DOEpatents

    Daily, III, William Dean

    2016-09-06

    An apparatus for sensing the level of a liquid includes a float, a tether attached to the float, a pulley attached to the tether, a rotation sensor connected to the pulley that senses vertical movement of said float and senses the level of the liquid.

  18. Compound floating pivot micromechanisms

    DOEpatents

    Garcia, Ernest J.

    2001-04-24

    A new class of tilting micromechanical mechanisms have been developed. These new mechanisms use compound floating pivot structures to attain far greater tilt angles than are practical using other micromechanical techniques. The new mechanisms are also capable of bi-directional tilt about multiple axes.

  19. Failure of aseptic revision total knee arthroplasties

    PubMed Central

    Leta, Tesfaye H; Lygre, Stein Håkon L; Skredderstuen, Arne; Hallan, Geir; Furnes, Ove

    2015-01-01

    Background and purpose In Norway, the proportion of revision knee arthroplasties increased from 6.9% in 1994 to 8.5% in 2011. However, there is limited information on the epidemiology and causes of subsequent failure of revision knee arthroplasty. We therefore studied survival rate and determined the modes of failure of aseptic revision total knee arthroplasties. Method This study was based on 1,016 aseptic revision total knee arthroplasties reported to the Norwegian Arthroplasty Register between 1994 and 2011. Revisions done for infections were not included. Kaplan-Meier and Cox regression analyses were used to assess the survival rate and the relative risk of re-revision with all causes of re-revision as endpoint. Results 145 knees failed after revision total knee arthroplasty. Deep infection was the most frequent cause of re-revision (28%), followed by instability (26%), loose tibial component (17%), and pain (10%). The cumulative survival rate for revision total knee arthroplasties was 85% at 5 years, 78% at 10 years, and 71% at 15 years. Revision total knee arthroplasties with exchange of the femoral or tibial component exclusively had a higher risk of re-revision (RR = 1.7) than those with exchange of the whole prosthesis. The risk of re-revision was higher for men (RR = 2.0) and for patients aged less than 60 years (RR = 1.6). Interpretation In terms of implant survival, revision of the whole implant was better than revision of 1 component only. Young age and male sex were risk factors for re-revision. Deep infection was the most frequent cause of failure of revision of aseptic total knee arthroplasties. PMID:25267502

  20. Freely floating smectic films.

    PubMed

    May, Kathrin; Harth, Kirsten; Trittel, Torsten; Stannarius, Ralf

    2014-05-19

    We have investigated the dynamics of freely floating smectic bubbles using high-speed optical imaging. Bubbles in the size range from a few hundred micrometers to several centimeters were prepared from collapsing catenoids. They represent ideal model systems for the study of thin-film fluid dynamics under well-controlled conditions. Owing to the internal smectic layer structure, the bubbles combine features of both soap films and vesicles in their unique shape dynamics. From a strongly elongated initial shape after pinch-off, they relax towards the spherical equilibrium, first by a slow redistribution of the smectic layers, and finally by weak, damped shape oscillations. In addition, we describe the rupture of freely floating smectic bubbles, and the formation and stability of smectic filaments. PMID:24692347

  1. Freely floating smectic films.

    PubMed

    May, Kathrin; Harth, Kirsten; Trittel, Torsten; Stannarius, Ralf

    2014-05-19

    We have investigated the dynamics of freely floating smectic bubbles using high-speed optical imaging. Bubbles in the size range from a few hundred micrometers to several centimeters were prepared from collapsing catenoids. They represent ideal model systems for the study of thin-film fluid dynamics under well-controlled conditions. Owing to the internal smectic layer structure, the bubbles combine features of both soap films and vesicles in their unique shape dynamics. From a strongly elongated initial shape after pinch-off, they relax towards the spherical equilibrium, first by a slow redistribution of the smectic layers, and finally by weak, damped shape oscillations. In addition, we describe the rupture of freely floating smectic bubbles, and the formation and stability of smectic filaments.

  2. Floating point coprocessor upgrade

    SciTech Connect

    Weber, T.

    1987-04-01

    A method was developed to increase the throughput of the Hewlett Packard, 98635A floating point processor equipped, model 236C computer. The increase was carried out in three phases each with a clock and or chip change during the modification. Two programs were written to test the results and evaluate the increases in performance made to the computer. The first one shows reduction in processing times of 34.3%, while the other recorded 34.6%.

  3. Floating-diffusion electrometer with adjustable sensitivity

    NASA Technical Reports Server (NTRS)

    Tower, John R. (Inventor)

    1989-01-01

    The effective capacitance of the floating diffusion in a floating-diffusion electrometer is modified to adjust electrometer sensitivity. This is done by changing the direct potential applied to a gate electrode proximate to the floating diffusion.

  4. Microprocessor prosthetic knees.

    PubMed

    Berry, Dale

    2006-02-01

    This article traces the development of microprocessor prosthetic knees from early research in the 1970s to the present. Read about how microprocessor knees work, functional options, patient selection, and the future of this prosthetic.

  5. Does It Sink or Float?

    ERIC Educational Resources Information Center

    McDonald, Judith Richards

    2012-01-01

    This activity is designed to teach prekindergarten to second grade students about the concept of sink or float through an inquiry activity. Students will use familiar objects to predict and test the properties of sink and float. Background information is offered to teachers to assist them with this activity. This lesson begins with an engaging…

  6. Seabirds and floating plastic debris.

    PubMed

    Cadée, Gerhard C

    2002-11-01

    80% of floating plastic debris freshly washed ashore on a Dutch coast showed peckmarks made by birds at sea. They either mistake these debris for cuttlebones or simply test all floating objects. Ingestion of plastic is deleterious for marine organisms. It is urgent to set measures to plastic litter production.

  7. Knee arthroscopy - discharge

    MedlinePlus

    ... retinacular release - discharge; Synovectomy - discharge; Patellar debridement - discharge; Meniscus repair - discharge; Lateral release - discharge; Collateral ligament repair - discharge; Knee surgery - ...

  8. Predicting Knee Osteoarthritis.

    PubMed

    Gardiner, Bruce S; Woodhouse, Francis G; Besier, Thor F; Grodzinsky, Alan J; Lloyd, David G; Zhang, Lihai; Smith, David W

    2016-01-01

    Treatment options for osteoarthritis (OA) beyond pain relief or total knee replacement are very limited. Because of this, attention has shifted to identifying which factors increase the risk of OA in vulnerable populations in order to be able to give recommendations to delay disease onset or to slow disease progression. The gold standard is then to use principles of risk management, first to provide subject-specific estimates of risk and then to find ways of reducing that risk. Population studies of OA risk based on statistical associations do not provide such individually tailored information. Here we argue that mechanistic models of cartilage tissue maintenance and damage coupled to statistical models incorporating model uncertainty, united within the framework of structural reliability analysis, provide an avenue for bridging the disciplines of epidemiology, cell biology, genetics and biomechanics. Such models promise subject-specific OA risk assessment and personalized strategies for mitigating or even avoiding OA. We illustrate the proposed approach with a simple model of cartilage extracellular matrix synthesis and loss regulated by daily physical activity. PMID:26206679

  9. Floating Silicon Method

    SciTech Connect

    Kellerman, Peter

    2013-12-21

    The Floating Silicon Method (FSM) project at Applied Materials (formerly Varian Semiconductor Equipment Associates), has been funded, in part, by the DOE under a “Photovoltaic Supply Chain and Cross Cutting Technologies” grant (number DE-EE0000595) for the past four years. The original intent of the project was to develop the FSM process from concept to a commercially viable tool. This new manufacturing equipment would support the photovoltaic industry in following ways: eliminate kerf losses and the consumable costs associated with wafer sawing, allow optimal photovoltaic efficiency by producing high-quality silicon sheets, reduce the cost of assembling photovoltaic modules by creating large-area silicon cells which are free of micro-cracks, and would be a drop-in replacement in existing high efficiency cell production process thereby allowing rapid fan-out into the industry.

  10. Floating on oil.

    PubMed

    Zhang, Jihua; Deng, Xu; Butt, Hans-Jürgen; Vollmer, Doris

    2014-09-01

    We demonstrate that disk-shaped steel meshes coated with a superamphiphobic layer are able to float on water and on organic liquids. A coated disk-shaped steel mesh of 1 cm radius has a loading capacity of 17 mN in water and still remarkable 9 mN in n-hexadecane. Experimentally measured supporting forces and loading capacities agree well with theoretical predictions. Inspired by the giant water lily, pan-shaped "oil lilies" with even higher loading capacity and artificial oil striders carrying more than 10 times their own weight are designed. Even after the artificial devices are fully immersed into different liquids, they show self-draining properties due to capillary forces.

  11. Floating mirror mount

    SciTech Connect

    Koop, D.E.

    1989-01-03

    This patent describes a floating mirror mount for a mirror of a laser is described consisting of: a mirror having a front surface and a back surface, a keeper encircling the mirror and having a peripheral flange engaging the front surface of the mirror when the mirror is not installed in a laser, a retainer positioned rearwardly of the back surface of the mirror and connected to the keeper and having a spring seating surface, spring means engageable with the spring seating surface of the retainer for exerting a resilient biasing force on the mirror, and fastening means for connecting the retainer to the mirror positioning structure of the laser on installation of the mirror mount in the laser.

  12. Floating on oil.

    PubMed

    Zhang, Jihua; Deng, Xu; Butt, Hans-Jürgen; Vollmer, Doris

    2014-09-01

    We demonstrate that disk-shaped steel meshes coated with a superamphiphobic layer are able to float on water and on organic liquids. A coated disk-shaped steel mesh of 1 cm radius has a loading capacity of 17 mN in water and still remarkable 9 mN in n-hexadecane. Experimentally measured supporting forces and loading capacities agree well with theoretical predictions. Inspired by the giant water lily, pan-shaped "oil lilies" with even higher loading capacity and artificial oil striders carrying more than 10 times their own weight are designed. Even after the artificial devices are fully immersed into different liquids, they show self-draining properties due to capillary forces. PMID:25109826

  13. Floating into Deep Space

    NASA Astrophysics Data System (ADS)

    La Frenais, R.; Saraceno, T.; Powell, J.

    2014-04-01

    Is it possible for spaceflight to become more sustainable? Artist and architect Tomas Saraceno proposes a long-term artscience research project based on his initial work with solar balloons to join with the efforts of engineers such as John Powell, working on the Airship to Orbit experiments, which describe a three stage process of using airships to fly to a large suborbital "Dark Sky Station' then literally floating into orbit with additional electrical and chemical propulsion. (See: http://www.jpaerospace.com) In his artworks Tomás Saraceno proposes cell-like flying cities as possible architectonic living spaces in direct reference to Buckminster Fuller's Cloud Nine (circa 1960). The fantastic architectural utopia Cloud Nine consists of a freely floating sphere measuring one mile in diameter that offers living space to several autonomous communities encompassing thousands of inhabitants each. The notion of the cloud is essential to the artist's work. The cloud as metaphor stands for artistic intention, for the meaning of territory and border in today's (urban) society, and for exploring possibilities for the sustainable development of the human living environment. In Saraceno's work this environment is not limited to the earth, but is explicitly conceived to reach into outer space. (Biomimetic Constructions- On the works of Tomás Saraceno By Katharina Schlüter) Saraceno is also interested in human factors experiments using his existing constructions as analogue environments for living on Mars and is proposing carry out a series of workshops, experiments and solar balloon launces in White Sands desert in early 2016 in collaboration with the curator Dr Rob La Frenais, the Rubin Center at The University of Texas at El Paso and various scientific partners.

  14. NULL Convention Floating Point Multiplier

    PubMed Central

    Ramachandran, Seshasayanan

    2015-01-01

    Floating point multiplication is a critical part in high dynamic range and computational intensive digital signal processing applications which require high precision and low power. This paper presents the design of an IEEE 754 single precision floating point multiplier using asynchronous NULL convention logic paradigm. Rounding has not been implemented to suit high precision applications. The novelty of the research is that it is the first ever NULL convention logic multiplier, designed to perform floating point multiplication. The proposed multiplier offers substantial decrease in power consumption when compared with its synchronous version. Performance attributes of the NULL convention logic floating point multiplier, obtained from Xilinx simulation and Cadence, are compared with its equivalent synchronous implementation. PMID:25879069

  15. Control development for floating wind

    NASA Astrophysics Data System (ADS)

    Savenije, Feike; Peeringa, Johan

    2014-06-01

    Control of a floating wind turbine has proven to be challenging, but essential for lowering the cost of floating wind energy. Topic of a recent joint R&D project by GustoMSC, MARIN and ECN, is the concept design and verification with coupled simulations and model tests of the GustoMSC Tri-Floater. Only using an integral design approach, including mooring and control design, a cost effective system can be obtained. In this project, ECN developed a general floating wind turbine control strategy and applied this in a case study to the GustoMSC Tri-Floater and the OC3Hywind spar, both equipped with the NREL 5MW RWT. The designed controller ensures stable operation, while maintaining proper speed and power regulation. The motions of the floating support are reduced and substantial load reduction has been achieved.

  16. Older Adults without Radiographic Knee Osteoarthritis: Knee Alignment and Knee Range of Motion

    PubMed Central

    Fahlman, Lissa; Sangeorzan, Emmeline; Chheda, Nimisha; Lambright, Daphne

    2014-01-01

    This study describes knee alignment and active knee range of motion (ROM) in a community-based group of 78-year old adults (n = 143) who did not have radiographic evidence of knee osteoarthritis in either knee (KL < 2). Although knee malalignment is a risk factor for knee osteoarthritis, most women and men had either valgus or varus alignments. Notably, no men were valgus in both knees. Women with both knees valgus had significantly greater body mass index (P > 0.001) than women with varus or straight knees. Men and women with valgus or varus knee alignments had generally lower ROM than individuals with both knees straight. In summary, this study highlights the complex relationships among knee alignment, ROM, body mass index, and gender in elderly adults without radiographic knee osteoarthritis. PMID:24453501

  17. Older Adults without Radiographic Knee Osteoarthritis: Knee Alignment and Knee Range of Motion.

    PubMed

    Fahlman, Lissa; Sangeorzan, Emmeline; Chheda, Nimisha; Lambright, Daphne

    2014-01-12

    This study describes knee alignment and active knee range of motion (ROM) in a community-based group of 78-year old adults (n = 143) who did not have radiographic evidence of knee osteoarthritis in either knee (KL < 2). Although knee malalignment is a risk factor for knee osteoarthritis, most women and men had either valgus or varus alignments. Notably, no men were valgus in both knees. Women with both knees valgus had significantly greater body mass index (P > 0.001) than women with varus or straight knees. Men and women with valgus or varus knee alignments had generally lower ROM than individuals with both knees straight. In summary, this study highlights the complex relationships among knee alignment, ROM, body mass index, and gender in elderly adults without radiographic knee osteoarthritis.

  18. Electrically floating, near vertical incidence, skywave antenna

    DOEpatents

    Anderson, Allen A.; Kaser, Timothy G.; Tremblay, Paul A.; Mays, Belva L.

    2014-07-08

    An Electrically Floating, Near Vertical Incidence, Skywave (NVIS) Antenna comprising an antenna element, a floating ground element, and a grounding element. At least part of said floating ground element is positioned between said antenna element and said grounding element. The antenna is separated from the floating ground element and the grounding element by one or more electrical insulators. The floating ground element is separated from said antenna and said grounding element by one or more electrical insulators.

  19. Floating into Thin Air

    SciTech Connect

    Hazi, A U

    2007-02-06

    On May 18, 2005, a giant helium balloon carrying the High Energy Focusing Telescope (HEFT) sailed into the spring sky over the deserts of New Mexico. The spindly steel and aluminum gondola that houses the optics, detectors, and other components of the telescope floated for 25 hours after its launch from Fort Sumner, New Mexico. For 21 of those hours, the balloon was nearly 40 kilometers above Earth's surface--almost four times higher than the altitude routinely flown by commercial jet aircraft. In the upper reaches of Earth's atmosphere, HEFT searched the universe for x-ray sources from highly energetic objects such as binary stars, galaxy clusters, and supermassive black holes. Before landing in Arizona, the telescope observed and imaged a dozen scientific targets by capturing photons emitted from these objects in the high-energy (hard) x-ray range (above 10 kiloelectronvolts). Among these targets were the Crab synchrotron nebula, the black hole Cygnus X-1 (one of the brightest x-ray sources in the sky), and the blazar 3C454.3. The scientific data gathered from these targets are among the first focused hard x-ray images returned from high altitudes.

  20. Impact on floating membranes.

    PubMed

    Vandenberghe, Nicolas; Duchemin, Laurent

    2016-05-01

    When impacted by a rigid body, a thin elastic membrane with negligible bending rigidity floating on a liquid pool deforms. Two axisymmetric waves radiating from the impact point propagate. First, a longitudinal wave front, associated with in-plane deformation of the membrane and traveling at constant speed, separates an outward stress-free domain from a stretched domain. Then, in the stretched domain a dispersive transverse wave travels at a speed that depends on the local stretching rate. The dynamics is found to be self-similar in time. Using this property, we show that the wave dynamics is similar to the capillary waves that propagate at a liquid-gas interface but with a surface tension coefficient that depends on impact speed. During wave propagation, we observe the development of a buckling instability that gives rise to radial wrinkles. We address the dynamics of this fluid-body system, including the rapid deceleration of an impactor of finite mass, an issue that may have applications in the domain of absorption of impact energy. PMID:27300958

  1. Skylab floating ice experiment

    NASA Technical Reports Server (NTRS)

    Campbell, W. J. (Principal Investigator); Ramseier, R. O.; Weaver, R. J.; Weeks, W. F.

    1975-01-01

    The author has identified the following significant results. Coupling of the aircraft data with the ground truth observations proved to be highly successful with interesting results being obtained with IR and SLAR passive microwave techniques, and standard photography. Of particular interest were the results of the PMIS system which operated at 10.69 GHz with both vertical and horizontal polarizations. This was the first time that dual polarized images were obtained from floating ice. In both sea and lake ice, it was possible to distinguish a wide variety of thin ice types because of their large differences in brightness temperatures. It was found that the higher brightness temperature was invariably obtained in the vertically polarized mode, and as the age of the ice increases the brightness temperature increases in both polarizations. Associated with this change in age, the difference in temperature was observed as the different polarizations decreased. It appears that the horizontally polarized data is the most sensitive to variations in ice type for both fresh water and sea ice. The study also showed the great amount of information on ice surface roughness and deformation patterns that can be obtained from X-band SLAR observations.

  2. Floating wind turbine system

    NASA Technical Reports Server (NTRS)

    Viterna, Larry A. (Inventor)

    2009-01-01

    A floating wind turbine system with a tower structure that includes at least one stability arm extending therefrom and that is anchored to the sea floor with a rotatable position retention device that facilitates deep water installations. Variable buoyancy for the wind turbine system is provided by buoyancy chambers that are integral to the tower itself as well as the stability arm. Pumps are included for adjusting the buoyancy as an aid in system transport, installation, repair and removal. The wind turbine rotor is located downwind of the tower structure to allow the wind turbine to follow the wind direction without an active yaw drive system. The support tower and stability arm structure is designed to balance tension in the tether with buoyancy, gravity and wind forces in such a way that the top of the support tower leans downwind, providing a large clearance between the support tower and the rotor blade tips. This large clearance facilitates the use of articulated rotor hubs to reduced damaging structural dynamic loads. Major components of the turbine can be assembled at the shore and transported to an offshore installation site.

  3. Circular epidemiology.

    PubMed

    Kuller, L H

    1999-11-01

    Circular epidemiology can be defined as the continuation of specific types of epidemiologic studies beyond the point of reasonable doubt of the true existence of an important association or the absence of such an association. Circular epidemiology is an extreme example of studies of the consistency of associations. A basic problem for epidemiology is the lack of a systematic approach to acquiring new knowledge to reach a goal of improving public health and preventive medicine. For epidemiologists, research support unfortunately is biased toward the continued study of already proven hypotheses. Circular epidemiology, however, freezes at one point in the evolution of epidemiologic studies, failing to move from descriptive to analytical case-control and longitudinal studies, for example, to experimental, clinical trials. Good epidemiology journals are filled with very well-conducted epidemiologic studies that primarily repeat the obvious or are variations on the theme.

  4. Modern prosthetic knee mechanisms.

    PubMed

    Michael, J W

    1999-04-01

    The plethora of presently available prosthetic knee components can be divided into two groups based on how they are controlled: recent innovations that incorporate an onboard computer and the more familiar purely mechanical devices. These categories then can be subdivided into generic functional classes based on the degree of stance phase stability and swing phase responsiveness offered by each type of knee mechanism. This article summarizes the key advantages and limitations of available prosthetic knee systems and suggests a simple method to match the biomechanical capabilities of specific prosthetic knee components to the individual functional capabilities and goals of the person with an amputated limb.

  5. Patterns of knee osteoarthritis in Arabian and American knees.

    PubMed

    Hodge, W Andrew; Harman, Melinda K; Banks, Scott A

    2009-04-01

    This study illustrates differences in the cartilage degeneration in osteoarthritic knees in patients with more frequent hyperflexion activities of daily living compared with Western patients. Proximal tibial articular cartilage wear and cruciate ligament condition were assessed in Saudi Arabian and North American patients with varus osteoarthritis undergoing total knee arthroplasty. In anterior cruciate ligament (ACL) intact knees, there were significant differences in wear location, with a clearly more anterior pattern in Saudi Arabian knees. Complete ACL deficiency occurred in 25% of North American knees but only 14% of Saudi Arabian knees. These ACL-deficient knees showed the most severe cartilage wear in both groups and posterior medial wear patterns. Biomechanical descriptions of knee flexion and axial rotation during kneeling or squatting are consistent with the more pronounced anteromedial and posterolateral cartilage wear patterns observed on the Saudi Arabian knees. These observations provide insight into altered knee mechanics in 2 culturally different populations with different demands on knee flexion.

  6. Partial knee replacement

    MedlinePlus

    ... You will need to understand what surgery and recovery will be like. Partial knee arthroplasty may be a good choice if you have arthritis in only one side or part of the knee and: You are older, thin, and not very active. You do not ...

  7. Knee arthroscopy - series (image)

    MedlinePlus

    ... ligaments are among the ligaments of the knee joint. ... the joint (synovium), and the rest of the joint. Damaged tissues can be removed. Arthroscopy can also be used to help view the inside of the knee while ligaments or tendons are repaired from the outside.

  8. Preventing Knee Injuries

    MedlinePlus

    ... to tearing. Growth Plate Injuries, Fractures, and Dislocations Knee fractures rarely occur in childhood sports, but with any ... is the bump on the front of the knee where the patellar tendon attaches. Fractures to the growth plate in this area often ...

  9. Can water float on oil?

    PubMed

    Phan, Chi M; Allen, Benjamin; Peters, Luke B; Le, Thu N; Tade, Moses O

    2012-03-13

    The floatability of water on oil surface was studied. A numerical model was developed from the Young-Laplace equation on three interfaces (water/oil, water/air, and oil/air) to predict the theoretical equilibration conditions. The model was verified successfully with an oil/water system. The stability of the floating droplet depends on the combination of three interface tensions, oil density, and water droplet volume. For practical purposes, however, the equilibrium contact angle has to be greater than 5° so the water droplet can effectively float. This result has significant applications for biodegrading oil wastes. PMID:22352678

  10. Treating Osteoarthritis of the Knee

    MedlinePlus

    ... osteotomy may need knee replacement surgery in the future. Arthroplasty is also called joint or knee replacement therapy. A surgeon removes the part of the knee damaged by osteoarthritis and replaces it with an artificial joint made from metals and plastic. All or part of the knee joint may ...

  11. 40 CFR 65.45 - External floating roof converted into an internal floating roof.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 16 2014-07-01 2014-07-01 false External floating roof converted into an internal floating roof. 65.45 Section 65.45 Protection of Environment ENVIRONMENTAL PROTECTION... External floating roof converted into an internal floating roof. The owner or operator who elects...

  12. 40 CFR 65.45 - External floating roof converted into an internal floating roof.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 16 2012-07-01 2012-07-01 false External floating roof converted into an internal floating roof. 65.45 Section 65.45 Protection of Environment ENVIRONMENTAL PROTECTION... External floating roof converted into an internal floating roof. The owner or operator who elects...

  13. 40 CFR 65.45 - External floating roof converted into an internal floating roof.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 16 2013-07-01 2013-07-01 false External floating roof converted into an internal floating roof. 65.45 Section 65.45 Protection of Environment ENVIRONMENTAL PROTECTION... External floating roof converted into an internal floating roof. The owner or operator who elects...

  14. 32 CFR 935.165 - Floating objects.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Floating objects. 935.165 Section 935.165... REGULATIONS WAKE ISLAND CODE Public Safety § 935.165 Floating objects. No person may anchor, moor, or beach any boat, barge, or other floating object on Wake Island in any location or manner other than...

  15. Have Floating Rates Been a Success?

    ERIC Educational Resources Information Center

    Higham, David

    1983-01-01

    Floating exchange rates have not lived up to all expectations, but neither have they performed as badly as some critics have suggested. Examined are the impact of floating rates on balance of payments adjustment, domestic economic policy, and inflation and the claim that floating rates have displayed excessive fluctuations. (Author/RM)

  16. 32 CFR 935.165 - Floating objects.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Floating objects. 935.165 Section 935.165... REGULATIONS WAKE ISLAND CODE Public Safety § 935.165 Floating objects. No person may anchor, moor, or beach any boat, barge, or other floating object on Wake Island in any location or manner other than...

  17. Flinking: Neither Floating nor Sinking.

    ERIC Educational Resources Information Center

    Wilson, Roger B.

    1993-01-01

    Describes an activity that challenges students to make an object that, when released under water, does not float up or sink down. The main concept this activity investigates is the density of ordinary objects in comparison to the density of water. (PR)

  18. Designing seaplane hulls and floats

    NASA Technical Reports Server (NTRS)

    Benoit,

    1926-01-01

    Experimental data, such as the results of tank tests of models, render it possible to predict, at least in principle, as to how a hull or float of a given shape will comport itself. We will see further along, however, how uncertain these methods are and how they leave room for empiricism, which will reign for a long time yet in seaplane research bureaus.

  19. Chronic Knee Dislocation After Total Knee Arthroplasty.

    PubMed

    Ross, John P; Brown, Nicholas M; Levine, Brett R

    2015-12-01

    Knee dislocation after total knee arthroplasty (TKA), although rare, is a dangerous injury that can lead to neurovascular compromise and permanent disability. Chronic dislocation after TKA is even less common and is defined as dislocation that is present for 4 weeks or more. There are few reports of its management. Chronic dislocation may be complicated further by concomitant extensor mechanism disruption, ligamentous instability, and/or capsular contracture. This article describes 3 cases of chronically dislocated TKAs and the challenges encountered in treating this difficult problem. A higher level of constraint was required to maintain knee stability, and an extensor mechanism allograft was needed in 2 of the 3 reported patients. The preferred technique at the authors' institution is a complete allograft composite, tensioned in full extension. In the setting of a chronically dislocated TKA, the authors now recommend revision surgery with an enhanced measure of constraint (constrained condylar device or hinged knee prosthesis), reconstruction of the extensor mechanism when necessary, and restoration of the joint while compensating for concomitant bony defects. Even when surgeons follow these principles, it is important to inform the patient that long-term outcomes will likely be inferior to those of revision surgery for other causes.

  20. Advanced concepts in knee arthrodesis

    PubMed Central

    Wood, Jennifer H; Conway, Janet D

    2015-01-01

    The aim is to describe advanced strategies that can be used to diagnose and treat complications after knee arthrodesis and to describe temporary knee arthrodesis to treat infected knee arthroplasty. Potential difficult complications include nonunited knee arthrodesis, limb length discrepancy after knee arthrodesis, and united but infected knee arthrodesis. If a nonunited knee arthrodesis shows evidence of implant loosening or failure, then bone grafting the nonunion site as well as exchange intramedullary nailing and/or supplemental plate fixation are recommended. If symptomatic limb length discrepancy cannot be satisfactorily treated with a shoe lift, then the patient should undergo tibial lengthening over nail with a monolateral fixator or exchange nailing with a femoral internal lengthening device. If a united knee arthrodesis is infected, the nail must be removed. Then the surgeon has the option of replacing it with a long, antibiotic cement-coated nail. The authors also describe temporary knee arthrodesis for infected knee arthroplasty in patients who have the potential to undergo insertion of a new implant. The procedure has two goals: eradication of infection and stabilization of the knee. A temporary knee fusion can be accomplished by inserting both an antibiotic cement-coated knee fusion nail and a static antibiotic cement-coated spacer. These advanced techniques can be helpful when treating difficult complications after knee arthrodesis and treating cases of infected knee arthroplasty. PMID:25793160

  1. The use of knee braces, part 1: Prophylactic knee braces in contact sports.

    PubMed

    Najibi, Soheil; Albright, John P

    2005-04-01

    Surrogate knee model biomechanical studies have indicated that off-the-shelf braces provide 20% to 30% greater resistance to a lateral blow when the knee is in full extension. Custom functional braces doubled the protective effects and proved effective with the knee in some flexion. Although functional performance studies are not consistent, preventive knee braces may slow straight-ahead sprint speed, cause early fatigue, and increase muscular relaxation pressures, energy expenditure, blood lactate levels, maximal torque output, oxygen consumption, and heart rate. Two epidemiologic studies have been performed. At West Point, a randomized control study of 71 injuries in 1396 cadets indicated knee brace effectiveness with a statistically higher rate of injury in the control group (3.4/1000 exposures) than in the braced group (1.5/1000 exposures), with the most significance for medial collateral ligament sprains in defensive players. The Big Ten Conference conducted a descriptive study of 100 medial collateral ligament sprains among 987 players in different positions, strings, and types of session. Brace-wear tendency varied directly with the unbraced player counterpart's risk of medial collateral ligament sprain, with the nonplayer linemen experiencing both the greatest risk of unbraced practice session injury (0.0801 injuries/1000 exposures) and the highest incidence of brace wear (85%). During practices, there was a nonsignificant but very consistent reduction in injury rate for braced players in every position and string. During games, there was also a reduced rate for linemen and the linebacker/tight end group. The study concluded that although the issue is not closed, preventive knee braces appear to offer some protection to the medial collateral ligament from a contact injury involving a valgus blow, but there may be negative effects on performance level, leg cramping, and fatigue symptoms. PMID:15788733

  2. The epidemiology of revision total knee and hip arthroplasty in England and Wales: a comparative analysis with projections for the United States. A study using the National Joint Registry dataset.

    PubMed

    Patel, A; Pavlou, G; Mújica-Mota, R E; Toms, A D

    2015-08-01

    Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are recognised and proven interventions for patients with advanced arthritis. Studies to date have demonstrated a steady increase in the requirement for primary and revision procedures. Projected estimates made for the United States show that by 2030 the demand for primary TKA will grow by 673% and for revision TKA by 601% from the level in 2005. For THA the projected estimates are 174% and 137% for primary and revision surgery, respectively. The purpose of this study was to see if those predictions were similar for England and Wales using data from the National Joint Registry and the Office of National Statistics. Analysis of data for England and Wales suggest that by 2030, the volume of primary and revision TKAs will have increased by 117% and 332%, respectively between 2012 and 2030. The data for the United States translates to a 306% cumulative rate of increase between 2012 and 2030 for revision surgery, which is similar to our predictions for England and Wales. The predictions from the United States for primary TKA were similar to our upper limit projections. For THA, we predicted an increase of 134% and 31% for primary and revision hip surgery, respectively. Our model has limitations, however, it highlights the economic burden of arthroplasty in the future in England and Wales as a real and unaddressed problem. This will have significant implications for the provision of health care and the management of orthopaedic services in the future. PMID:26224824

  3. Anterior knee pain

    MedlinePlus

    ... as running, jumping or twisting, skiing, or playing soccer). You have flat feet. Anterior knee pain is ... to the kneecap Runners, jumpers, skiers, bicyclists, and soccer players who exercise often Teenagers and healthy young ...

  4. Knee joint replacement

    MedlinePlus

    ... is used to attach this part. Repair your muscles and tendons around the new joint and close the surgical cut. The surgery takes about 2 hours. Most artificial knees have both metal and plastic parts. Some ...

  5. Total Knee Replacement

    MedlinePlus

    ... as anti- inflammatory medications, cortisone injections, lubricating injections, physical therapy, or other surgeries A knee that has become ... your function. Other treatment options — including medications, injections, physical therapy, or other types of surgery — will also be ...

  6. Three floating metatarsals and a half-floating cuneiform.

    PubMed

    Madi, Sandesh; Vijayan, Sandeep; Naik, Monappa; Rao, Sharath

    2015-10-08

    Floating metatarsals are rare and complex injury patterns in the world of foot trauma. The injury is typically characterised by concomitant dislocations of the metatarsals from both articular ends ('bipolar dislocations'). Fascination arises from the fact that there have been only 15 cases reported in the English literature from 1964 to date. The first metatarsal has been more frequently reported than the lesser metatarsals. More than one floating metatarsal is also extremely uncommon. Inter-cuneiform diastasis is another rare entity seen in low velocity injuries and sports injuries; this condition is very difficult to diagnose clinically and radiologically. The occurrence of these two injury patterns in isolation is itself rare, making their combination even more unique.

  7. Reading Knee-Deep

    ERIC Educational Resources Information Center

    Jewett, Pamela

    2007-01-01

    Freire told his audience at a seminar at the University of Massachusetts, "You need to read knee-deep in texts, for deeper than surface meanings, and you need to know the words to be able to do it" (quoted in Cleary, 2003). In a children's literature class, fifteen teachers and I traveled along a path that moved us toward reading knee-deep as we…

  8. Dashboard (in the) knee.

    PubMed

    Patel, M S; Qureshi, A A; Green, T P

    2015-03-01

    We present the case of a 19-year-old individual presenting to an orthopaedic outpatient clinic several months following a dashboard knee injury during a road traffic accident with intermittent mechanical symptoms. Despite unremarkable examination findings and normal magnetic resonance imaging, the patient was identified subsequently as having an intra-articular plastic foreign body consistent with a piece of dashboard on arthroscopic knee assessment, the retrieval of which resulted in a complete resolution of symptoms.

  9. Taking care of your new knee joint

    MedlinePlus

    Knee arthroplasty - precautions; Knee replacement - precautions ... After you have knee replacement surgery , you will need to be careful about how you move your knee, especially for the first few ...

  10. Dislocation after total knee arthroplasty.

    PubMed

    Wazir, N N; Shan, Y; Mukundala, V V; Gunalan, R

    2007-05-01

    Two cases of dislocation of total knee arthroplasty presented to us within the same week. The first patient is a 71-year-old woman who underwent bilateral primary total knee arthroplasty. The left knee dislocated three weeks after the surgery. Due to failure of conservative measures, she underwent revision total knee arthroplasty. The other patient is a 72-year-old woman presenting ten years after primary total knee arthroplasty, with a traumatic dislocation of the knee joint. She was treated as an outpatient with closed manipulative reduction.

  11. Knee pain in competitive swimming.

    PubMed

    Rodeo, S A

    1999-04-01

    The high volume of training in competitive swimming results in cumulative overload injuries. Knee pain ranks second to shoulder pain as a common complaint in competitive swimmers. Most knee pain occurs on the medial side of the knee and, most commonly, in breaststroke swimmers; however, knee pain may accompany all strokes. This article reviews the incidence of knee pain, the biomechanic and anatomic factors predisposing to injury, specific injury patterns, injury diagnosis, and the treatment and prevention of injury to the knee in swimmers. PMID:10230572

  12. Float zone experiments in space

    NASA Technical Reports Server (NTRS)

    Verhoeven, J. D.; Noack, M. A.; Gill, W. N.; Hau, C. C.

    1984-01-01

    The molten zone/freezing crystal interface system and all the mechanisms were examined. If Marangoni convection produces oscillatory flows in the float zone of semiconductor materials, such as silicon, then it is unlikely that superior quality crystals can be grown in space using this process. The major goals were: (1) to determine the conditions for the onset of Marangoni flows in molten tin, a model system for low Prandtl number molten semiconductor materials; (2) to determine whether the flows can be suppressed by a thin oxide layer; and (3) based on experimental and mathematical analysis, to predict whether oscillatory flows will occur in the float zone silicon geometry in space, and if so, could it be suppressed by thin oxide or nitride films. Techniques were developed to analyze molten tin surfaces in a UHV system in a disk float zone geometry to minimize buoyancy flows. The critical Marangoni number for onset of oscillatory flows was determined to be greater than 4300 on atomically clean molten tin surfaces.

  13. Dragging a floating horizontal cylinder

    NASA Astrophysics Data System (ADS)

    Lee, Duck-Gyu; Kim, Ho-Young

    2010-11-01

    A cylinder immersed in a fluid stream experiences a drag, and it is well known that the drag coefficient is a function of the Reynolds number only. Here we study the force exerted on a long horizontal cylinder that is dragged perpendicular to its axis while floating on an air-water interface with a high Reynolds number. In addition to the flow-induced drag, the floating body is subjected to capillary forces along the contact line where the three phases of liquid/solid/gas meet. We first theoretically predict the meniscus profile around the horizontally moving cylinder assuming the potential flow, and show that the profile is in good agreement with that obtained experimentally. Then we compare our theoretical predictions and experimental measurement results for the drag coefficient of a floating horizontal cylinder that is given by a function of the Weber number and the Bond number. This study can help us to understand the horizontal motion of partially submerged objects at air-liquid interface, such as semi-aquatic insects and marine plants.

  14. Obesity, knee osteoarthritis and knee arthroplasty: a review

    PubMed Central

    2013-01-01

    The incidence of obesity is rising worldwide. Obesity is a risk factor for developing osteoarthritis in the knee. Obesity and knee osteoarthritis are independently disabling conditions and in combination pose difficult therapeutic challenges. This review will discuss obesity, osteoarthritis, and the problems associated with knee osteoarthritis in an obese population. Treatment options including surgery and its success will be discussed. PMID:24304704

  15. Endodontic Epidemiology

    PubMed Central

    Shahravan, Arash; Haghdoost, Ali Akbar

    2014-01-01

    Epidemiology is the study of disease distribution and factors determining or affecting it. Likewise, endodontic epidemiology can be defined as the science of studying the distribution pattern and determinants of pulp and periapical diseases; specially apical periodontitis. Although different study designs have been used in endodontics, researchers must pay more attention to study designs with higher level of evidence such as randomized clinical trials. PMID:24688577

  16. 14 CFR 27.753 - Main float design.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float design. 27.753 Section 27.753... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.753 Main float design. (a) Bag floats. Each bag float must be designed to withstand— (1) The maximum pressure...

  17. 14 CFR 29.753 - Main float design.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float design. 29.753 Section 29.753... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 29.753 Main float design. (a) Bag floats. Each bag float must be designed to withstand— (1) The maximum pressure...

  18. The impact on seaplane floats during landing

    NASA Technical Reports Server (NTRS)

    Von Karman, TH

    1929-01-01

    In order to make a stress analysis of seaplane floats, and especially of the members connecting the floats with the fuselage, it is of great importance to determine the maximum pressure acting on the floats during landing. Here, the author gives a formula for maximum pressures during landing that permits one to apply experimental results to different bodies and different velocities. The author notes that the formula checks very well with experimental results.

  19. Tank Tests of Twin Seaplane Floats

    NASA Technical Reports Server (NTRS)

    Herrman, H; Kempf, G; Kloess, H

    1928-01-01

    The following report contains the most essential data for the hydrodynamic portion of the twin-float problem. The following points were successfully investigated: 1) difference between stationary and nonstationary flow; 2) effect of the shape of the step; 3) effect of distance between floats; 4) effect of nose-heavy and tail-heavy moments; 5) effect of the shape of floats; 6) maneuverability.

  20. Alterations in walking knee joint stiffness in individuals with knee osteoarthritis and self-reported knee instability.

    PubMed

    Gustafson, Jonathan A; Gorman, Shannon; Fitzgerald, G Kelley; Farrokhi, Shawn

    2016-01-01

    Increased walking knee joint stiffness has been reported in patients with knee osteoarthritis (OA) as a compensatory strategy to improve knee joint stability. However, presence of episodic self-reported knee instability in a large subgroup of patients with knee OA may be a sign of inadequate walking knee joint stiffness. The objective of this work was to evaluate the differences in walking knee joint stiffness in patients with knee OA with and without self-reported instability and examine the relationship between walking knee joint stiffness with quadriceps strength, knee joint laxity, and varus knee malalignment. Overground biomechanical data at a self-selected gait velocity was collected for 35 individuals with knee OA without self-reported instability (stable group) and 17 individuals with knee OA and episodic self-reported instability (unstable group). Knee joint stiffness was calculated during the weight-acceptance phase of gait as the change in the external knee joint moment divided by the change in the knee flexion angle. The unstable group walked with lower knee joint stiffness (p=0.01), mainly due to smaller heel-contact knee flexion angles (p<0.01) and greater knee flexion excursions (p<0.01) compared to their knee stable counterparts. No significant relationships were observed between walking knee joint stiffness and quadriceps strength, knee joint laxity or varus knee malalignment. Reduced walking knee joint stiffness appears to be associated with episodic knee instability and independent of quadriceps muscle weakness, knee joint laxity or varus malalignment. Further investigations of the temporal relationship between self-reported knee joint instability and walking knee joint stiffness are warranted.

  1. [Field epidemiology and social epidemiology].

    PubMed

    Segura del Pozo, Javier

    2006-01-01

    Comparing field epidemiology and social epidemiology, we pretend to think about the no explicit images and meanings operating in both necessary convergent fields, about the obstacles present in epidemiological practice to fulfil its social function and about the necessity of changing epistemological, methodological and practice grounds, beginning with field epidemiologists teaching programmes. Field epidemiology would tend to act in an absent theoretical frame. On the other hand, social epidemiology would tend to prioritize theoretical developments (thinking and research about social determinants) without correspondent action, because of the limits to change public policies. Other differences are found at intervention level (micro-macrospace), its aim (outbreak control vs. inequalities control) and the way to communicate with society. They are similar in the methodological concern, the predominance of orientation based on positivism and framed through statistic methods, but in process of epistemological opening, the stress experienced between the alternative relationship to a virtual world of data bases or to the real society, their peripherical situation in relation of the political, social, institutional and professional system and the tendency to professional frustration. Finally, we ask ten questions to the field epidemiologists related with their present practice, in order to consider if they are developing social epidemiology, and propose some changes in epidemiologist teaching and practice.

  2. Surface tension supported floating of heavy objects: Why elongated bodies float better?

    PubMed

    Bormashenko, Edward

    2016-02-01

    Floating of bodies heavier than the supporting liquid is discussed. Floating of cylindrical, ellipsoidal bodies and rectangular plates possessing lateral dimensions smaller than the capillary length is treated. It is demonstrated that more elongated bodies of a fixed volume are better supported by capillary forces, due to the increase in the perimeter of the triple line. Thus, floating of metallic needles obtains reasonable explanation.

  3. Cementless total knee arthroplasty

    PubMed Central

    Risitano, Salvatore; Sabatini, Luigi; Giachino, Matteo; Agati, Gabriele; Massè, Alessandro

    2016-01-01

    Interest for uncemented total knee arthroplasty (TKA) has greatly increased in recent years. This technique, less used than cemented knee replacement in the last decades, sees a revival thanks an advance in prosthetic design, instrumentation and operative technique. The related literature in some cases shows conflicting data on survival and on the revision’s rate, but in most cases a success rate comparable to cemented TKA is reported. The optimal fixation in TKA is a subject of debate with the majority of surgeons favouring cemented fixation. PMID:27162779

  4. Wave drag on floating bodies.

    PubMed

    Le Merrer, Marie; Clanet, Christophe; Quéré, David; Raphaël, Elie; Chevy, Frédéric

    2011-09-13

    We measure the deceleration of liquid nitrogen drops floating at the surface of a liquid bath. On water, the friction force is found to be about 10 to 100 times larger than on a solid substrate, which is shown to arise from wave resistance. We investigate the influence of the bath viscosity and show that the dissipation decreases as the viscosity is increased, owing to wave damping. The measured resistance is well predicted by a model imposing a vertical force (i.e., the drop weight) on a finite area, as long as the wake can be considered stationary. PMID:21876186

  5. Wave drag on floating bodies

    PubMed Central

    Le Merrer, Marie; Clanet, Christophe; Quéré, David; Raphaël, Élie; Chevy, Frédéric

    2011-01-01

    We measure the deceleration of liquid nitrogen drops floating at the surface of a liquid bath. On water, the friction force is found to be about 10 to 100 times larger than on a solid substrate, which is shown to arise from wave resistance. We investigate the influence of the bath viscosity and show that the dissipation decreases as the viscosity is increased, owing to wave damping. The measured resistance is well predicted by a model imposing a vertical force (i.e., the drop weight) on a finite area, as long as the wake can be considered stationary. PMID:21876186

  6. Wave drag on floating bodies.

    PubMed

    Le Merrer, Marie; Clanet, Christophe; Quéré, David; Raphaël, Elie; Chevy, Frédéric

    2011-09-13

    We measure the deceleration of liquid nitrogen drops floating at the surface of a liquid bath. On water, the friction force is found to be about 10 to 100 times larger than on a solid substrate, which is shown to arise from wave resistance. We investigate the influence of the bath viscosity and show that the dissipation decreases as the viscosity is increased, owing to wave damping. The measured resistance is well predicted by a model imposing a vertical force (i.e., the drop weight) on a finite area, as long as the wake can be considered stationary.

  7. Polygenic Epidemiology

    PubMed Central

    2016-01-01

    ABSTRACT Much of the genetic basis of complex traits is present on current genotyping products, but the individual variants that affect the traits have largely not been identified. Several traditional problems in genetic epidemiology have recently been addressed by assuming a polygenic basis for disease and treating it as a single entity. Here I briefly review some of these applications, which collectively may be termed polygenic epidemiology. Methodologies in this area include polygenic scoring, linear mixed models, and linkage disequilibrium scoring. They have been used to establish a polygenic effect, estimate genetic correlation between traits, estimate how many variants affect a trait, stratify cases into subphenotypes, predict individual disease risks, and infer causal effects using Mendelian randomization. Polygenic epidemiology will continue to yield useful applications even while much of the specific variation underlying complex traits remains undiscovered. PMID:27061411

  8. [Occupational epidemiology].

    PubMed

    Ahrens, W; Behrens, T; Mester, B; Schmeisser, N

    2008-03-01

    The aim of occupational epidemiology is to describe workplace-related diseases and to identify their underlying causes. Its primary goal is to protect workers from hazardous effects of the working process by applying work-related primary and secondary prevention measures. To assess health risks different study designs and a wide array of complex study instruments and methods are frequently employed that cannot be replaced by toxicological investigations. This paper primarily addresses health risks by agent exposures. In this context a central task of occupational epidemiology is careful assessment of exposure. Different data sources, such as work site measurements, register data, archive material, experts' opinion, and the workers' personal estimates of exposure may be used during this process. In addition, biological markers can complement exposure assessment. Since thorough occupational epidemiologic studies allow assessment of disease risks under realistic exposure conditions, their results should be more frequently used to derive workplace-related threshold limit values. PMID:18311483

  9. Polygenic Epidemiology.

    PubMed

    Dudbridge, Frank

    2016-05-01

    Much of the genetic basis of complex traits is present on current genotyping products, but the individual variants that affect the traits have largely not been identified. Several traditional problems in genetic epidemiology have recently been addressed by assuming a polygenic basis for disease and treating it as a single entity. Here I briefly review some of these applications, which collectively may be termed polygenic epidemiology. Methodologies in this area include polygenic scoring, linear mixed models, and linkage disequilibrium scoring. They have been used to establish a polygenic effect, estimate genetic correlation between traits, estimate how many variants affect a trait, stratify cases into subphenotypes, predict individual disease risks, and infer causal effects using Mendelian randomization. Polygenic epidemiology will continue to yield useful applications even while much of the specific variation underlying complex traits remains undiscovered. PMID:27061411

  10. Heat generated by knee prostheses.

    PubMed

    Pritchett, James W

    2006-01-01

    Temperature sensors were placed in 50 knees in 25 patients who had one or both joints replaced. Temperature recordings were made before walking, after walking, and after cycling. The heat generated in healthy, arthritic, and replaced knees was measured. The knee replacements were done using eight different prostheses. A rotating hinge knee prosthesis generated a temperature increase of 7 degrees C in 20 minutes and 9 degrees C in 40 minutes. An unconstrained ceramic femoral prosthesis articulating with a polyethylene tibial prosthesis generated a temperature increase of 4 degrees C compared with a healthy resting knee. The other designs using a cobalt-chrome alloy and high-density polyethylene had temperature increases of 5 degrees-7 degrees C with exercise. Frictional heat generated in a prosthetic knee is not immediately dissipated and may result in wear, creep, and other degenerative processes in the high-density polyethylene. Extended periods of elevated temperature in joints may inhibit cell growth and perhaps contribute to adverse performance via bone resorption or component loosening. Prosthetic knees generate more heat with activity than healthy or arthritic knees. More-constrained knee prostheses generate more heat than less-constrained prostheses. A knee with a ceramic femoral component generates less heat than a knee with the same design using a cobalt-chromium alloy. PMID:16394760

  11. Bilateral knee replacements for treatment of acute septic arthritis in both knees.

    PubMed

    Ashraf, Muhammad Omer; Asumu, Theophilus

    2013-11-01

    A case report of bilateral acute septic arthritis of knees is presented, which was managed with staged total knee replacements for both knees. A literature review on septic arthritis treated with knee arthroplasty is also presented.

  12. Cognitive epidemiology

    PubMed Central

    Deary, Ian J; Batty, G David

    2007-01-01

    This glossary provides a guide to some concepts, findings and issues of discussion in the new field of research in which intelligence test scores are associated with mortality and morbidity. Intelligence tests are devised and studied by differential psychologists. Some of the major concepts in differential psychology are explained, especially those regarding cognitive ability testing. Some aspects of IQ (intelligence) tests are described and some of the major tests are outlined. A short guide is given to the main statistical techniques used by differential psychologists in the study of human mental abilities. There is a discussion of common epidemiological concepts in the context of cognitive epidemiology. PMID:17435201

  13. Floating liquid bridge charge dynamics

    NASA Astrophysics Data System (ADS)

    Teschke, Omar; Soares, David Mendez; Gomes, Whyllerson Evaristo; Valente Filho, Juracyr Ferraz

    2016-01-01

    The interaction of liquid with electric fields is investigated in a configuration where up to 13 kV are applied between electrodes resulting in a 106 V/m electric field in the capillaries and where there is the formation of a free-standing fluid bridge in the interelectrode gap. The Mott-Gurney equation was fitted to the measured ionization current vs applied voltage curve which indicates that the ionization rate at the high-voltage anode electrode dimethylsulfoxide (DMSO) interface and space charging in the interelectrode gap determine the floating liquid bridge current for a given cathode-to-anode voltage. Space charge effects were measured in the cathode becker and also at the liquid bridge since the ionized charges at the anode migrate to the bridge outer surface and decrease the interfacial tension from 43 mJ/m2 to 29 mJ/m2. Two distinct structural regions then form the bridge, a charged plastic (bulk modulus ˜100 MPa) conducting outer layer with a surface conductivity of ˜10-9 Ω-1, which shapes and supports the floating fluid structure, and an inner liquid cylinder, where DMSO molecules flow.

  14. Hypermobility and Knee Injuries.

    ERIC Educational Resources Information Center

    Steiner, Mark E.

    1987-01-01

    A review of research on the effect of hypermobility on knee injury indicates that greater than normal joint flexibility may be necessary for some athletic endeavors and that it may be possible to change one's underlying flexibility through training. However, for most athletes, inherited flexibility probably plays only a small role, if any, in…

  15. Future float zone development in industry

    NASA Technical Reports Server (NTRS)

    Sandfort, R. M.

    1980-01-01

    The present industrial requirements for float zone silicon are summarized. Developments desired by the industry in the future are reported. The five most significant problems faced today by the float zone crystal growth method in industry are discussed. They are economic, large diameter, resistivity uniformity, control of carbon, and swirl defects.

  16. 32 CFR 935.165 - Floating objects.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Floating objects. 935.165 Section 935.165 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE TERRITORIAL AND INSULAR REGULATIONS WAKE ISLAND CODE Public Safety § 935.165 Floating objects. No person may anchor, moor, or...

  17. 32 CFR 935.165 - Floating objects.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Floating objects. 935.165 Section 935.165 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE TERRITORIAL AND INSULAR REGULATIONS WAKE ISLAND CODE Public Safety § 935.165 Floating objects. No person may anchor, moor, or...

  18. 32 CFR 935.165 - Floating objects.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Floating objects. 935.165 Section 935.165 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE TERRITORIAL AND INSULAR REGULATIONS WAKE ISLAND CODE Public Safety § 935.165 Floating objects. No person may anchor, moor, or...

  19. Whatever Floats Your Boat: A Design Challenge

    ERIC Educational Resources Information Center

    Kornoelje, Joanne; Roman, Harry T.

    2012-01-01

    This article presents a simple design challenge, based on the PBS program "Design Squad's" "Watercraft" activity that will prove engaging to most technology and engineering students. In this floating boat challenge, students are to build a boat that can float and support 25 pennies for at least 10 seconds--without leaking, sinking, or tipping…

  20. Towards sensible floating-point arithmetic

    SciTech Connect

    Cody, W.J.

    1980-01-01

    Efforts to promote the development of high-quality transportable numerical software show that few, if any, of the floating-point arithmetic systems in existing computers are completely satisfactory for serious numerical computation. Examination of the defects in these systems leads to specifications for a sensible floating-point system from a numerical analyst's viewpoint. 1 table.

  1. Vertical pump with free floating check valve

    DOEpatents

    Lindsay, Malcolm

    1980-01-01

    A vertical pump with a bottom discharge having a free floating check valve isposed in the outlet plenum thereof. The free floating check valve comprises a spherical member with a hemispherical cage-like member attached thereto which is capable of allowing forward or reverse flow under appropriate conditions while preventing reverse flow under inappropriate conditions.

  2. Custom Knee Device for Knee Contractures After Internal Femoral Lengthening.

    PubMed

    Bhave, Anil; Shabtai, Lior; Ong, Peck-Hoon; Standard, Shawn C; Paley, Dror; Herzenberg, John E

    2015-07-01

    The development of knee flexion contractures is among the most common problems and complications associated with lengthening the femur with an internal device or external fixator. Conservative treatment strategies include physical therapy, serial casting, and low-load prolonged stretching with commercially available splinting systems. The authors developed an individually molded, low-cost custom knee device with polyester synthetic conformable casting material to treat knee flexion contractures. The goal of this study was to evaluate the results of treatment with a custom knee device and specialized physical therapy in patients who had knee flexion contracture during femoral lengthening with an intramedullary lengthening femoral nail. This retrospective study included 23 patients (27 limbs) who underwent femoral lengthening with an internal device for the treatment of limb length discrepancy. All patients had a knee flexion contracture raging from 10° to 90° during the lengthening process and were treated with a custom knee device and specialized physical therapy. The average flexion contracture before treatment was 36°. The mean amount of lengthening was 5.4 cm. After an average of 3.8 weeks of use of the custom knee device, only 2 of 27 limbs (7.5%) had not achieved complete resolution of the flexion contracture. The average final extension was 1.4°. Only 7 of 27 limbs (26%) required additional soft tissue release. The custom knee device is an inexpensive and effective method for treating knee flexion contracture after lengthening with an internal device.

  3. Nutritional Epidemiology

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Although observations on relationships between diet and health have always been recognized—the systematic science of nutritional epidemiology in populations is relatively recent. Important observations propelling the field of nutrition forward were numerous in the 18th and 19th centuries, as it was...

  4. Epidemiological causality.

    PubMed

    Morabia, Alfredo

    2005-01-01

    Epidemiological methods, which combine population thinking and group comparisons, can primarily identify causes of disease in populations. There is therefore a tension between our intuitive notion of a cause, which we want to be deterministic and invariant at the individual level, and the epidemiological notion of causes, which are invariant only at the population level. Epidemiologists have given heretofore a pragmatic solution to this tension. Causal inference in epidemiology consists in checking the logical coherence of a causality statement and determining whether what has been found grossly contradicts what we think we already know: how strong is the association? Is there a dose-response relationship? Does the cause precede the effect? Is the effect biologically plausible? Etc. This approach to causal inference can be traced back to the English philosophers David Hume and John Stuart Mill. On the other hand, the mode of establishing causality, devised by Jakob Henle and Robert Koch, which has been fruitful in bacteriology, requires that in every instance the effect invariably follows the cause (e.g., inoculation of Koch bacillus and tuberculosis). This is incompatible with epidemiological causality which has to deal with probabilistic effects (e.g., smoking and lung cancer), and is therefore invariant only for the population.

  5. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  6. 21 CFR 888.3580 - Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Knee joint patellar (hemi-knee) metallic... § 888.3580 Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis is a device made...

  7. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  8. 21 CFR 888.3580 - Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Knee joint patellar (hemi-knee) metallic... § 888.3580 Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis is a device made...

  9. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  10. 21 CFR 888.3580 - Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Knee joint patellar (hemi-knee) metallic... § 888.3580 Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis is a device made...

  11. 21 CFR 888.3580 - Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Knee joint patellar (hemi-knee) metallic... § 888.3580 Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis is a device made...

  12. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  13. 21 CFR 888.3580 - Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Knee joint patellar (hemi-knee) metallic... § 888.3580 Knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint patellar (hemi-knee) metallic resurfacing uncemented prosthesis is a device made...

  14. 21 CFR 888.3590 - Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Knee joint tibial (hemi-knee) metallic resurfacing... Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. (a) Identification. A knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis is a device intended to be...

  15. 49 CFR 572.126 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Knees and knee impact test procedure. 572.126...-year-old Child Test Dummy, Beta Version § 572.126 Knees and knee impact test procedure. (a) Knee assembly. The knee assembly is part of the leg assembly (drawing 127-4000-1 and -2). (b) When the...

  16. 49 CFR 572.136 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Knees and knee impact test procedure. 572.136... Hybrid III 5th Percentile Female Test Dummy, Alpha Version § 572.136 Knees and knee impact test procedure. (a) Knee assembly. The knee assembly (refer to §§ 572.130(a)(1)(v) and (vi)) for the purpose of...

  17. 49 CFR 572.126 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Knees and knee impact test procedure. 572.126...-year-old Child Test Dummy, Beta Version § 572.126 Knees and knee impact test procedure. (a) Knee assembly. The knee assembly is part of the leg assembly (drawing 127-4000-1 and -2). (b) When the...

  18. Spontaneous Knee Ankylosis through Heterotopic Ossification after Total Knee Arthroplasty

    PubMed Central

    Boulezaz, Samuel; Gibon, Emmanuel; Loriaut, Philippe; Casabianca, Laurent; Rousseau, Romain; Dallaudiere, Benjamin; Pascal-Moussellard, Hugues

    2016-01-01

    This paper reports on a case of total ankylosis of the knee after a cruciate-sacrificing cemented total knee arthroplasty (TKA). An 82-year-old female patient previously underwent primary TKA for osteoarthritis twenty years ago in our institution. She had recovered uneventfully and returned to her regular activities. There was no history of postsurgical trauma; however, she progressively lost knee range of motion. Radiographs revealed severe bridging heterotopic ossification. PMID:27119034

  19. Knee arthroplasty rating.

    PubMed

    Binazzi, R; Soudry, M; Mestriner, L A; Insall, J N

    1992-06-01

    A number of rating systems used to evaluate the results of total knee arthroplasty exist. Many of these systems are based on different concepts, and might be expected to give divergent results. To see if this was so, the authors examined a consecutive series of 235 posterior stabilized knee arthroplasties recording the results according to five rating systems: HSS (The Hospital for Special Surgery), Brigham, Freeman, BOA (British Orthopaedic Association), and the VENN diagram. In spite of their apparent differences, all point systems and the BOA gave almost identical results, while the VENN diagram proved to be the most stringent. The authors suggest that any of the current point systems may be used to "score" arthroplasties, but the results should also be rated with the VENN diagram in order to see the quality of the arthroplasty and a comparison between the different series.

  20. Digital Epidemiology

    PubMed Central

    Salathé, Marcel; Bengtsson, Linus; Bodnar, Todd J.; Brewer, Devon D.; Brownstein, John S.; Buckee, Caroline; Campbell, Ellsworth M.; Cattuto, Ciro; Khandelwal, Shashank; Mabry, Patricia L.; Vespignani, Alessandro

    2012-01-01

    Mobile, social, real-time: the ongoing revolution in the way people communicate has given rise to a new kind of epidemiology. Digital data sources, when harnessed appropriately, can provide local and timely information about disease and health dynamics in populations around the world. The rapid, unprecedented increase in the availability of relevant data from various digital sources creates considerable technical and computational challenges. PMID:22844241

  1. Eccrine Spiradenoma in Knee

    PubMed Central

    Sharma, A; Sengupta, P; Das, Anjan Kumar; Nigam, Manish Kumar; Chattopadhya, S

    2014-01-01

    Eccrine spiradenoma is an uncommon benign adnexal tumor of the eccrine sweat glands. Although it can occur at any age, it is most common in young adults without any sex predilection. Malignant transformation is rare, presenting as rapid increase in size of a long-standing lesion. Here, we report a case of eccrine spiradenoma in a 35-year-old man who presented with swelling over the right knee, with cytological atypia but no recurrence until date. PMID:25284865

  2. Floating point arithmetic in future supercomputers

    NASA Technical Reports Server (NTRS)

    Bailey, David H.; Barton, John T.; Simon, Horst D.; Fouts, Martin J.

    1989-01-01

    Considerations in the floating-point design of a supercomputer are discussed. Particular attention is given to word size, hardware support for extended precision, format, and accuracy characteristics. These issues are discussed from the perspective of the Numerical Aerodynamic Simulation Systems Division at NASA Ames. The features believed to be most important for a future supercomputer floating-point design include: (1) a 64-bit IEEE floating-point format with 11 exponent bits, 52 mantissa bits, and one sign bit and (2) hardware support for reasonably fast double-precision arithmetic.

  3. Selectively Lockable Knee Brace

    NASA Technical Reports Server (NTRS)

    Myers, W. Neill (Inventor); Shadoan, Michael D. (Inventor); Forbes, John C. (Inventor); Baker, Kevin J. (Inventor); Rice, Darron C. (Inventor)

    1996-01-01

    A knee brace for aiding in rehabilitation of damaged leg muscles includes upper and lower housings normally pivotable one relative to the other about the knee joint axis of a patient. The upper housing is attachable to the thigh of the patient above the knee joint while the lower housing is secured to a stirrup which extends downwardly along the patient's leg and is attached to the patient's shoe. An actuation rod is carried within the lower housing and is coupled to a cable. The upper and lower housings carry cooperative clutch/brake elements which normally are disengaged to permit relative movement between the upper and lower housings. When the cable is extended the clutch/brake elements engage and lock the housings together. A heel strike mechanism fastened to the stirrup and the heel of the shoe is connected to the cable to selectively extend the cable and lock the brace in substantially any position when the patient places weight on the heel.

  4. Selectively lockable knee brace

    NASA Technical Reports Server (NTRS)

    Myers, Neill (Inventor); Shadoan, Mike (Inventor); Forbes, John (Inventor); Baker, Kevin (Inventor)

    1994-01-01

    A knee brace for aiding in rehabilitation of damaged leg muscles includes upper and lower housings, normally pivotable, one relative to the other about the knee joint axis of a patient. The upper housing is attachable to the thigh of the patient above the knee joint, while the lower housing is secured to a stirrup which extends downwardly along the patient's leg and is attached to the patient's shoe. An actuation rod is carried within the lower housing and is coupled to a cable. The upper and lower housings carry cooperative clutch/brake elements which normally are disengaged to permit relative movement between the upper and lower housings. When the cable is extended, the clutch/brake elements engage and lock the housings together. A heel strike mechanism fastened to the stirrup and the heel of the shoe is connected to the cable to selectively extend the cable and lock the brace in substantially any position when the patient places weight on the heel.

  5. Synovial plicae of the knee

    SciTech Connect

    Apple, J.S.; Martinez, S.; Daffner, R.H.; Gehweiler, J.A.; Hardaker, W.T.

    1982-01-01

    This report describes the anatomy, patho-physiology, clinical, and radiographic findings, and treatment of the synovial plicae of the knee joint. The suprapatellar plica is a synovial fold present in the suprapatellar pouch of the knee joint in approximately 20% of the population. This fold may become symptomatic after injury and cause symptoms similar to other common internal derangements of the knee. Double contrast arthrography of the knee can be used to identify the presence of plicae. Although arthrography can identify the presence of a plica, its clinical significance requires close correlation with symptoms and an accurate clinical examination.

  6. Active knee joint flexibility and sports activity.

    PubMed

    Hahn, T; Foldspang, A; Vestergaard, E; Ingemann-Hansen, T

    1999-04-01

    The aim of the study was to estimate active knee flexion and active knee extension in athletes and to investigate the potential association of each to different types of sports activity. Active knee extension and active knee flexion was measured in 339 athletes. Active knee extension was significantly higher in women than in men and significantly positively associated with weekly hours of swimming and weekly hours of competitive gymnastics. Active knee flexion was significantly positively associated with participation in basketball, and significantly negatively associated with age and weekly hours of soccer, European team handball and swimming. The results point to sport-specific adaptation of active knee flexion and active knee extension.

  7. 33 CFR 144.01-1 - Life floats.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Life floats. 144.01-1 Section 144... CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-1 Life floats. Each manned platform shall be provided with at least two approved life floats. The life floats shall have...

  8. 33 CFR 144.01-1 - Life floats.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Life floats. 144.01-1 Section 144... CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-1 Life floats. Each manned platform shall be provided with at least two approved life floats. The life floats shall have...

  9. 33 CFR 144.01-1 - Life floats.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Life floats. 144.01-1 Section 144... CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-1 Life floats. Each manned platform shall be provided with at least two approved life floats. The life floats shall have...

  10. 40 CFR 63.1043 - Standards-Separator floating roof.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) The separator shall be equipped with a floating roof designed to meet the following specifications: (1) The floating roof shall be designed to float on the liquid surface during normal operations. (2) The floating roof shall be equipped with two continuous seals, one above the other, between the wall of...

  11. Program Converts VAX Floating-Point Data To UNIX

    NASA Technical Reports Server (NTRS)

    Alves, Marcos; Chapman, Bruce; Chu, Eugene

    1996-01-01

    VAX Floating Point to Host Floating Point Conversion (VAXFC) software converts non-ASCII files to unformatted floating-point representation of UNIX machine. This is done by reading bytes bit by bit, converting them to floating-point numbers, then writing results to another file. Useful when data files created by VAX computer must be used on other machines. Written in C language.

  12. 14 CFR 23.753 - Main float design.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float design. 23.753 Section 23.753... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Design and Construction Floats and Hulls § 23.753 Main float design. Each seaplane main float must meet the requirements of § 23.521....

  13. 33 CFR 144.01-1 - Life floats.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Life floats. 144.01-1 Section 144... CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-1 Life floats. Each manned platform shall be provided with at least two approved life floats. The life floats shall have...

  14. 33 CFR 144.01-1 - Life floats.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Life floats. 144.01-1 Section 144... CONTINENTAL SHELF ACTIVITIES LIFESAVING APPLIANCES Manned Platforms § 144.01-1 Life floats. Each manned platform shall be provided with at least two approved life floats. The life floats shall have...

  15. 14 CFR 27.751 - Main float buoyancy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Main float buoyancy. 27.751 Section 27.751... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.751 Main float buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft in...

  16. 14 CFR 27.751 - Main float buoyancy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Main float buoyancy. 27.751 Section 27.751... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.751 Main float buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft in...

  17. 14 CFR 27.751 - Main float buoyancy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float buoyancy. 27.751 Section 27.751... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.751 Main float buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft in...

  18. 14 CFR 27.751 - Main float buoyancy.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Main float buoyancy. 27.751 Section 27.751... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.751 Main float buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft in...

  19. 14 CFR 27.751 - Main float buoyancy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Main float buoyancy. 27.751 Section 27.751... STANDARDS: NORMAL CATEGORY ROTORCRAFT Design and Construction Floats and Hulls § 27.751 Main float buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft in...

  20. Knee closure in total knee replacement: a randomized prospective trial.

    PubMed

    Masri, B A; Laskin, R S; Windsor, R E; Haas, S B

    1996-10-01

    A randomized prospective study of 75 total knee replacements in 64 patients who were randomized to capsular closure with the knee in full extension or in flexion was done. Thirty-one knees received a posterior cruciate ligament retaining prosthesis and 44 knees received a posterior stabilized prosthesis. Preoperatively, there was no significant difference between the groups, and patients were stratified by surgeon and type of prosthesis. Postoperatively, all patients were evaluated by a physical therapist who did not know the type of prosthesis the patient received. In addition to the range of motion obtained at discharge; the number of days required to achieve unassisted transfer; the number of days required to achieve assisted and unassisted use of a walker, cane, and stairs; and the number of days to discharge from the hospital were recorded. All patients were also evaluated at 2 to 3 months postoperatively, and the Knee Society clinical rating system scores were compared. There was no statistically significant difference in any of the early rehabilitation parameters or in the 2- to 3-month followup data. Moreover, there was no statistically significant difference in the rate of complications. With stratification according to the type of prosthesis used or the surgeon performing the operation, there was still no statistically significant difference in any of the studied parameters. It was therefore concluded that the degree of knee flexion at the time of capsular closure in total knee replacement has no effect on early rehabilitation after total knee replacement.

  1. Preview of Mars Curiosity Parade Float

    NASA Video Gallery

    Jim Green, Director of the Science Mission Directorate Planetary Systems Division at NASA Headquarters, describes the replica of the Mars Curiosity Rover on the second NASA float in Monday's inaugu...

  2. Thumb polydactyly with a floating ulnar thumb.

    PubMed

    Hasegawa, Kenjiro; Namba, Yuzaburo; Kimata, Yoshihiro

    2013-01-01

    Thumb polydactyly is reported to be the most common congenital anomaly of the hand in Japan. The floating type is not particularly rare, accounting for 0.9 to 15% of all cases of thumb polydactyly. However, to the best of our knowledge, there has been only one case of thumb polydactyly with a floating ulnar thumb, reported by Onizuka. Herein, we report a case very similar to that reported by Onizuka. In our case, the vessels feeding the floating ulnar thumb branched from the superficial palmar arterial arch, and X-rays revealed triphalangism. In surgery, we not only reconstructed the morphology of the thumb, but also tried to preserve the sensation in the reconstructed thumb by transposing the digital nerve of the floating ulnar thumb to the radial thumb. In addition to thumb polydactyly, our case also showed hypoplasia of the thenar muscles.

  3. Exploring Floating Concrete and Beam Design.

    ERIC Educational Resources Information Center

    Snell, Billie G.; Snell, Luke M.

    2002-01-01

    Presents two construction activities that address both state and federal science standards and encourage students to consider career options in mathematics and science. Includes floating concrete and paper bridge activities. (YDS)

  4. Floating patterns of metered dose inhalers.

    PubMed

    Wolf, B L; Cochran, K R

    1997-01-01

    As long as metered dose inhalers have existed, patients have sought a reliable method to determine if a given canister was still potent. Concerning beta agonists, the answer to this question may be lifesaving. Issues of compliance have made dating canisters or counting doses impractical. Likewise, previous claims of floating characteristics are unreliable. In tap water, we float-tested 13 commonly used inhalers three times each, observing variations as they were incrementally actuated, emptying their contents. One essential pattern was observed. Almost all prescription-size canisters sink when full; all float by the time one-third of their contents is gone. Orientation of prescription-size canisters changes in a distinct pattern especially near 90% depletion. Sample-size canisters showed some variance. Results suggest that the pharmaceutical industry should include individual floating characteristics as part of the package insert as they provide a reproducible means of gauging contents.

  5. Archimedes' floating bodies on a spherical Earth

    NASA Astrophysics Data System (ADS)

    Rorres, Chris

    2016-01-01

    Archimedes was the first to systematically find the centers of gravity of various solid bodies and to apply this concept in determining stable configurations of floating bodies. In this paper, we discuss an error in a proof developed by Archimedes that involves determining whether a uniform, spherical cap will float stably with its base horizontal in a liquid on a spherical Earth. We present a simpler, corrected proof and discuss aspects of his proof regarding a spherical cap that is not uniform.

  6. Multiple valued floating potentials of Langmuir probes

    NASA Technical Reports Server (NTRS)

    Nam, Cheol-Hee; Hershkowitz, N.; Cho, M. H.; Intrator, T.; Diebold, D.

    1988-01-01

    It is shown that Langmuir probes can have three different floating potentials in plasmas produced by a hot filament discharge in a multi-dipole device when the primary and secondary electron currents are comparable. The measured floating potential depends on the probe's initial condition - the most negative and the least negative potentials are found to be stable and the in-between value is found to be unstable. Results are compared to a simple theoretical model.

  7. Floating assembly of diatom Coscinodiscus sp. microshells.

    PubMed

    Wang, Yu; Pan, Junfeng; Cai, Jun; Zhang, Deyuan

    2012-03-30

    Diatoms have silica frustules with transparent and delicate micro/nano scale structures, two dimensional pore arrays, and large surface areas. Although, the diatom cells of Coscinodiscus sp. live underwater, we found that their valves can float on water and assemble together. Experiments show that the convex shape and the 40 nm sieve pores of the valves allow them to float on water, and that the buoyancy and the micro-range attractive forces cause the valves to assemble together at the highest point of water. As measured by AFM calibrated glass needles fixed in manipulator, the buoyancy force on a single floating valve may reach up to 10 μN in water. Turning the valves over, enlarging the sieve pores, reducing the surface tension of water, or vacuum pumping may cause the floating valves to sink. After the water has evaporated, the floating valves remained in their assembled state and formed a monolayer film. The bonded diatom monolayer may be valuable in studies on diatom based optical devices, biosensors, solar cells, and batteries, to better use the optical and adsorption properties of frustules. The floating assembly phenomenon can also be used as a self-assembly method for fabricating monolayer of circular plates. PMID:22387476

  8. Floating intake reduces pump damage

    SciTech Connect

    Kronig, A.

    1993-12-31

    The solution to a costly sand erosion problem at the Grande Dixence hydroelectric project in Switzerland turned out to be as simple as a floating pump. The 726-MW Grande Dixence project drains a 350-square-kilometer reach of the Zermatt and Herens valleys in the southwestern Swiss Alps. About half of the drainage area is covered by active glaciers. Because the glaciers in Zermatt Valley are so low in altitude, their water is collected in Z`mutt Reservoir at the base of the Matterhorn, then pumped up 500 meters for transport to the main Grande Disence Reservoir near Sion. The glacier water is heavily laden with sand. In spite of a gravel pass and a desilter, the 700,000-acubic-meter Z`mutt Reservoir receives large quantities of sand. The sand tends to remain in solution because of the low water temperatures (1 to 2 degrees Centigrade). In the original intake system, the sand would be sucked into the pump intakes, causing extensive erosion to the pump wheels and an expensive yearly program of repair. (Pump damage averaged 200,000 Swiss Francs ($284,000 U.S.) per year between 1980 and 1985.)

  9. Exercise and the Knee Joint.

    ERIC Educational Resources Information Center

    Clarke, H. Harrison, Ed.

    1976-01-01

    This report by the President's Council on Physical Fitness and Sports examines the effects of various forms of physical exercise on the knee joint which, because of its vulnerability, is especially subject to injury. Discussion centers around the physical characteristics of the joint, commonly used measurements for determining knee stability,…

  10. New Generation Lockable Knee Brace

    NASA Technical Reports Server (NTRS)

    1996-01-01

    A knee brace that uses Space Shuttle propulsion technology has moved a step closer to being available to help knee injury and stroke patients and may possibly benefit patients with birth defects, spinal cord injuries, and post-polio conditions. After years of hard work, inventors at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama, have turned over the final design and prototype to industry partners at Horton's Orthotic Lab in Little Rock, Arkansas for further clinical testing. The device, called the Selectively Lockable Knee Brace, may mean faster, less painful rehabilitation for patients by allowing the knee to move when weight is not on the heel. Devices currently on the market lock the knee in a rigid, straight-leg position, or allow continuous free motion. Pictured here is a knee brace prototype being tested and fitted at Horton's Orthotic Lab. The knee brace is just one example of how space technology is being used to improve the lives of people on Earth. NASA's MSFC inventors Michael Shadoan and Neill Myers are space propulsion engineers who use the same mechanisms and materials to build systems for rockets that they used to design and develop the knee brace.

  11. Automatic locking orthotic knee device

    NASA Technical Reports Server (NTRS)

    Weddendorf, Bruce C. (Inventor)

    1993-01-01

    An articulated tang in clevis joint for incorporation in newly manufactured conventional strap-on orthotic knee devices or for replacing such joints in conventional strap-on orthotic knee devices is discussed. The instant tang in clevis joint allows the user the freedom to extend and bend the knee normally when no load (weight) is applied to the knee and to automatically lock the knee when the user transfers weight to the knee, thus preventing a damaged knee from bending uncontrollably when weight is applied to the knee. The tang in clevis joint of the present invention includes first and second clevis plates, a tang assembly and a spacer plate secured between the clevis plates. Each clevis plate includes a bevelled serrated upper section. A bevelled shoe is secured to the tank in close proximity to the bevelled serrated upper section of the clevis plates. A coiled spring mounted within an oblong bore of the tang normally urges the shoes secured to the tang out of engagement with the serrated upper section of each clevic plate to allow rotation of the tang relative to the clevis plate. When weight is applied to the joint, the load compresses the coiled spring, the serrations on each clevis plate dig into the bevelled shoes secured to the tang to prevent relative movement between the tang and clevis plates. A shoulder is provided on the tang and the spacer plate to prevent overextension of the joint.

  12. 21 CFR 888.3570 - Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Knee joint femoral (hemi-knee) metallic uncemented... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Prosthetic Devices § 888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis. (a) Identification. A knee joint femoral...

  13. 21 CFR 888.3570 - Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Knee joint femoral (hemi-knee) metallic uncemented... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Prosthetic Devices § 888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis. (a) Identification. A knee joint femoral...

  14. 21 CFR 888.3570 - Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Knee joint femoral (hemi-knee) metallic uncemented... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Prosthetic Devices § 888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis. (a) Identification. A knee joint femoral...

  15. 21 CFR 888.3570 - Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Knee joint femoral (hemi-knee) metallic uncemented... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Prosthetic Devices § 888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis. (a) Identification. A knee joint femoral...

  16. 21 CFR 888.3570 - Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Knee joint femoral (hemi-knee) metallic uncemented... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Prosthetic Devices § 888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis. (a) Identification. A knee joint femoral...

  17. 49 CFR 572.166 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.166 Knees and knee impact test procedure. The knee assembly is assembled and tested as specified in 49 CFR 572.126 (Subpart N). ... 49 Transportation 7 2011-10-01 2011-10-01 false Knees and knee impact test procedure....

  18. 49 CFR 572.176 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Knees and knee impact test procedure. 572.176... Hybrid III 10-Year-Old Child Test Dummy (HIII-10C) § 572.176 Knees and knee impact test procedure. (a) The knee assembly for the purpose of this test is the part of the leg assembly shown in drawing...

  19. 49 CFR 572.166 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.166 Knees and knee impact test procedure. The knee assembly is assembled and tested as specified in 49 CFR 572.126 (Subpart N). ... 49 Transportation 7 2013-10-01 2013-10-01 false Knees and knee impact test procedure....

  20. 49 CFR 572.166 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.166 Knees and knee impact test procedure. The knee assembly is assembled and tested as specified in 49 CFR 572.126 (Subpart N). ... 49 Transportation 7 2012-10-01 2012-10-01 false Knees and knee impact test procedure....

  1. 49 CFR 572.166 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.166 Knees and knee impact test procedure. The knee assembly is assembled and tested as specified in 49 CFR 572.126 (Subpart N). ... 49 Transportation 7 2014-10-01 2014-10-01 false Knees and knee impact test procedure....

  2. Prosthetic knee design by simulation

    SciTech Connect

    Hollerbach, K; Hollister, A

    1999-07-30

    Although 150,000 total knee replacement surgeries are performed annually in North America, current designs of knee prostheses have mechanical problems that include a limited range of motion, abnormal gait patterns, patellofemoral joint dysfunction, implant loosening or subsidence, and excessive wear. These problems fall into three categories: failure to reproduce normal joint kinematics, which results in altered limb function; bone-implant interface failure; and material failure. Modern computer technology can be used to design, prototype, and test new total knee implants. The design team uses the full range of CAD-CAM to design and produce implant prototypes for mechanical and clinical testing. Closer approximation of natural knee kinematics and kinetics is essential for improved patient function and diminished implant loads. Current knee replacement designs are based on 19th Century theories that the knee moves about a variable axis of rotation. Recent research has shown, however, that knee motion occurs about two fixed, offset axes of rotation. These aces are not perpendicular to the long axes of the bones or to each other, and the axes do not intersect. Bearing surfaces of mechanisms that move about axes of rotation are surfaces of revolution of those axes which advanced CAD technology can produce. Solids with surfaces of revolution for the two axes of rotation for the knee have been made using an HP9000 workstation and Structural Ideas Master Series CAD software at ArthroMotion. The implant's CAD model should closely replicate movements of the normal knee. The knee model will have a range of flexion-extension (FE) from -5 to 120 degrees. Movements include varus, valgus, internal and external rotation, as well as flexion and extension. The patellofemoral joint is aligned perpendicular to the FE axis and replicates the natural joint more closely than those of existing prostheses. The bearing surfaces will be more congruent than current designs and should

  3. 40 CFR 65.45 - External floating roof converted into an internal floating roof.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 15 2010-07-01 2010-07-01 false External floating roof converted into an internal floating roof. 65.45 Section 65.45 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CONSOLIDATED FEDERAL AIR RULE Storage Vessels §...

  4. Unicompartmental knee arthroplasty

    PubMed Central

    Murray, D. W.; Liddle, A. D.; Dodd, C. A. F.; Pandit, H.

    2015-01-01

    There is a large amount of evidence available about the relative merits of unicompartmental and total knee arthroplasty (UKA and TKA). Based on the same evidence, different people draw different conclusions and as a result, there is great variability in the usage of UKA. The revision rate of UKA is much higher than TKA and so some surgeons conclude that UKA should not be performed. Other surgeons believe that the main reason for the high revision rate is that UKA is easy to revise and, therefore, the threshold for revision is low. They also believe that UKA has many advantages over TKA such as a faster recovery, lower morbidity and mortality and better function. They therefore conclude that UKA should be undertaken whenever appropriate. The solution to this argument is to minimise the revision rate of UKA, thereby addressing the main disadvantage of UKA. The evidence suggests that this will be achieved if surgeons use UKA for at least 20% of their knee arthroplasties and use implants that are appropriate for these broad indications. Cite this article: Bone Joint J 2015;97-B(10 Suppl A):3–8. PMID:26430080

  5. Exercise for knee osteoarthritis.

    PubMed

    Baker, K; McAlindon, T

    2000-09-01

    Adverse outcomes in knee osteoarthritis include pain, loss of function, and disability. These outcomes can have devastating effects on the quality of life of those suffering from the disease. Treatments have generally targeted pain, assuming that disability would improve as a direct result of improvements in pain. However, there is evidence to suggest that determinants of pain and disability differ. In general, treatments have been more successful at decreasing pain rather than disability. Many of the factors that lead to disability can be improved with exercise. Exercise, both aerobic and strength training, have been examined as treatments for knee osteoarthritis, with considerable variability in the results. The variability between studies may be due to differences in study design, exercise protocols, and participants in the studies. Although there is variability among studies, it is notable that a majority of the studies had a positive effect on pain and or disability. The mechanism of exercise remains unclear and merits future studies to better define a concise, clear exercise protocol that may have the potential for a public health intervention.

  6. Injury tolerance and moment response of the knee joint to combined valgus bending and shear loading.

    PubMed

    Bose, Dipan; Bhalla, Kavi S; Untaroiu, Costin D; Ivarsson, B Johan; Crandall, Jeff R; Hurwitz, Shepard

    2008-06-01

    Valgus bending and shearing of the knee have been identified as primary mechanisms of injuries in a lateral loading environment applicable to pedestrian-car collisions. Previous studies have reported on the structural response of the knee joint to pure valgus bending and lateral shearing, as well as the estimated injury thresholds for the knee bending angle and shear displacement based on experimental tests. However, epidemiological studies indicate that most knee injuries are due to the combined effects of bending and shear loading. Therefore, characterization of knee stiffness for combined loading and the associated injury tolerances is necessary for developing vehicle countermeasures to mitigate pedestrian injuries. Isolated knee joint specimens (n=40) from postmortem human subjects were tested in valgus bending at a loading rate representative of a pedestrian-car impact. The effect of lateral shear force combined with the bending moment on the stiffness response and the injury tolerances of the knee was concurrently evaluated. In addition to the knee moment-angle response, the bending angle and shear displacement corresponding to the first instance of primary ligament failure were determined in each test. The failure displacements were subsequently used to estimate an injury threshold function based on a simplified analytical model of the knee. The validity of the determined injury threshold function was subsequently verified using a finite element model. Post-test necropsy of the knees indicated medial collateral ligament injury consistent with the clinical injuries observed in pedestrian victims. The moment-angle response in valgus bending was determined at quasistatic and dynamic loading rates and compared to previously published test data. The peak bending moment values scaled to an average adult male showed no significant change with variation in the superimposed shear load. An injury threshold function for the knee in terms of bending angle and shear

  7. New Generation Lockable Knee Brace

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A knee brace that uses Space Shuttle propulsion technology has moved a step closer to being available to help knee injury and stroke patients and may possibly benefit patients with birth defects, spinal cord injuries, and post-polio conditions. After years of hard work, inventors at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama, have turned over the final design and prototype to industry partners at Horton's Orthotic Lab in Little Rock, Arkansas for further clinical testing. The device, called the Selectively Lockable Knee Brace, may mean faster, less painful rehabilitation for patients by allowing the knee to move when weight is not on the heel. Devices currently on the market lock the knee in a rigid, straight-leg position, or allow continuous free motion. The knee brace is just one example of how space technology is being used to improve the lives of people on Earth. NASA's MSFC inventors Michael Shadoan and Neill Myers are space propulsion engineers who use the same mechanisms and materials to build systems for rockets that they used to design and develop the knee brace.

  8. Physiotherapy management of knee osteoarthritis.

    PubMed

    Page, Carolyn J; Hinman, Rana S; Bennell, Kim L

    2011-05-01

    Knee osteoarthritis (OA) is a prevalent chronic joint disease causing pain and disability. Physiotherapy, which encompasses a number of modalities, is a non-invasive treatment option in the management of OA. This review summarizes the evidence for commonly used physiotherapy interventions. There is strong evidence to show short-term beneficial effects of exercise on pain and function, although the type of exercise does not seem to influence treatment outcome. Delivery modes, including individual, group or home exercise are all effective, although therapist contact may improve benefits. Attention to improving adherence to exercise is needed to maximize outcomes in the longer-term. Knee taping applied with the aim of realigning the patella and unloading soft tissues can reduce pain. There is also evidence to support the use of knee braces in people with knee OA. Biomechanical studies show that lateral wedge shoe insoles reduce knee load but clinical trials do not support symptomatic benefits. Recent studies suggest individual shoe characteristics also affect knee load and there is current interest in the effect of modified shoe designs. Manual therapy, while not to be used as a stand-alone treatment, may be beneficial. In summary, although the research is not equivocal, there is sufficient evidence to indicate that physiotherapy interventions can reduce pain and improve function in those with knee OA.

  9. Battery charging in float vs. cycling environments

    SciTech Connect

    COREY,GARTH P.

    2000-04-20

    In lead-acid battery systems, cycling systems are often managed using float management strategies. There are many differences in battery management strategies for a float environment and battery management strategies for a cycling environment. To complicate matters further, in many cycling environments, such as off-grid domestic power systems, there is usually not an available charging source capable of efficiently equalizing a lead-acid battery let alone bring it to a full state of charge. Typically, rules for battery management which have worked quite well in a floating environment have been routinely applied to cycling batteries without full appreciation of what the cycling battery really needs to reach a full state of charge and to maintain a high state of health. For example, charge target voltages for batteries that are regularly deep cycled in off-grid power sources are the same as voltages applied to stand-by systems following a discharge event. In other charging operations equalization charge requirements are frequently ignored or incorrectly applied in cycled systems which frequently leads to premature capacity loss. The cause of this serious problem: the application of float battery management strategies to cycling battery systems. This paper describes the outcomes to be expected when managing cycling batteries with float strategies and discusses the techniques and benefits for the use of cycling battery management strategies.

  10. Floating seal system for rotary devices

    DOEpatents

    Banasiuk, Hubert A.

    1983-01-01

    This invention relates to a floating seal system for rotary devices to reduce gas leakage around the rotary device in a duct and across the face of the rotary device to an adjacent duct. The peripheral seal bodies are made of resilient material having a generally U-shaped cross section wherein one of the legs is secured to a support member and the other of the legs forms a contacting seal against the rotary device. The legs of the peripheral seal form an extended angle of intersection of about 10.degree. to about 30.degree. in the unloaded condition to provide even sealing forces around the periphery of the rotary device. The peripheral seal extends around the periphery of the support member except where intersected by radial seals which reduce gas leakage across the face of the rotary device and between adjacent duct portions. The radial seal assembly is fabricated from channel bars, the smaller channel bar being secured to the divider of the support member and a larger inverted rigid floating channel bar having its legs freely movable over the legs of the smaller channel bar forming therewith a tubular channel. A resilient flexible tube is positioned within the tubular channel for substantially its full length to reduce gas leakage across the tubular channel. A spacer extends beyond the face of the floating channel near each end of the floating channel a distance to provide desired clearance between the floating channel and the face of the rotary device.

  11. Floating seal system for rotary devices

    DOEpatents

    Banasiuk, H.A.

    1983-08-23

    This invention relates to a floating seal system for rotary devices to reduce gas leakage around the rotary device in a duct and across the face of the rotary device to an adjacent duct. The peripheral seal bodies are made of resilient material having a generally U-shaped cross section wherein one of the legs is secured to a support member and the other of the legs forms a contacting seal against the rotary device. The legs of the peripheral seal form an extended angle of intersection of about 10[degree] to about 30[degree] in the unloaded condition to provide even sealing forces around the periphery of the rotary device. The peripheral seal extends around the periphery of the support member except where intersected by radial seals which reduce gas leakage across the face of the rotary device and between adjacent duct portions. The radial seal assembly is fabricated from channel bars, the smaller channel bar being secured to the divider of the support member and a larger inverted rigid floating channel bar having its legs freely movable over the legs of the smaller channel bar forming therewith a tubular channel. A resilient flexible tube is positioned within the tubular channel for substantially its full length to reduce gas leakage across the tubular channel. A spacer extends beyond the face of the floating channel near each end of the floating channel a distance to provide desired clearance between the floating channel and the face of the rotary device. 5 figs.

  12. Floating zone melting of cadmium telluride

    NASA Technical Reports Server (NTRS)

    Chang, Wen-Ming; Regel, L. L.; Wilcox, W. R.

    1992-01-01

    To produce superior crystals of cadmium telluride, floating zone melting in space has been proposed. Techniques required for floating zone melting of cadmium telluride are being developed. We have successfully float-zoned cadmium telluride on earth using square rods. A resistance heater was constructed for forming the molten zone. Evaporation of the molten zone was controlled by adding excess cadmium to the growth ampoule combined with heating of the entire ampoule. An effective method to hold the feed rod was developed. Slow rotation of the growth ampoule was proven experimentally to be necessary to achieve a complete symmetric molten zone. Most of the resultant cylindrical rods were single crystals with twins. Still needed is a suitable automatic method to control the zone length. We tried a fiber optical technique to control the zone length, but experiments showed that application of this technique to automate zone length control is unlikely to be successful.

  13. In Brief: Profiling floats fully deployed

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    2007-11-01

    The Argo network of sensor-bearing profiling floats, which allows scientists to observe the basic physical state of the world's oceans, reached its full deployment of 3000 units on 1 November, according to the Argo steering committee. With the full deployment of these floats-which measure ocean water temperature, salinity, and velocity-data from every ocean region are available with an average coverage of one sensor per 3 degrees of latitude and longitude. The floats drift on ocean currents for 10 days, descend to up to 2000 meters in depth, and return to the surface to beam results to passing satellites. ``The climate science objectives that drive the Argo array require that we observe the global oceans indefinitely, so achieving the global array is merely the beginning of the observation period,'' said Dean Roemmich, cochairman of the Argo program steering committee and a physical oceanographer at the Scripps Institution of Oceanography.

  14. Floating mechanism of a small liquid marble

    PubMed Central

    Ooi, Chin Hong; Plackowski, Chris; Nguyen, Anh V.; Vadivelu, Raja K.; John, James A. St.; Dao, Dzung Viet; Nguyen, Nam-Trung

    2016-01-01

    Flotation of small solid objects and liquid droplets on water is critical to natural and industrial activities. This paper reports the floating mechanism of liquid marbles, or liquid droplets coated with hydrophobic microparticles. We used X-ray computed tomography (XCT) to acquire cross-sectional images of the floating liquid marble and interface between the different phases. We then analysed the shape of the liquid marble and the angles at the three-phase contact line (TPCL). We found that the small floating liquid marbles follow the mechanism governing the flotation of solid objects in terms of surface tension forces. However, the contact angles formed and deformation of the liquid marble resemble that of a sessile liquid droplet on a thin, elastic solid. For small liquid marbles, the contact angle varies with volume due to the deformability of the interface. PMID:26902930

  15. Floating mechanism of a small liquid marble

    NASA Astrophysics Data System (ADS)

    Ooi, Chin Hong; Plackowski, Chris; Nguyen, Anh V.; Vadivelu, Raja K.; John, James A. St.; Dao, Dzung Viet; Nguyen, Nam-Trung

    2016-02-01

    Flotation of small solid objects and liquid droplets on water is critical to natural and industrial activities. This paper reports the floating mechanism of liquid marbles, or liquid droplets coated with hydrophobic microparticles. We used X-ray computed tomography (XCT) to acquire cross-sectional images of the floating liquid marble and interface between the different phases. We then analysed the shape of the liquid marble and the angles at the three-phase contact line (TPCL). We found that the small floating liquid marbles follow the mechanism governing the flotation of solid objects in terms of surface tension forces. However, the contact angles formed and deformation of the liquid marble resemble that of a sessile liquid droplet on a thin, elastic solid. For small liquid marbles, the contact angle varies with volume due to the deformability of the interface.

  16. Floating mechanism of a small liquid marble.

    PubMed

    Ooi, Chin Hong; Plackowski, Chris; Nguyen, Anh V; Vadivelu, Raja K; St John, James A; Dao, Dzung Viet; Nguyen, Nam-Trung

    2016-02-23

    Flotation of small solid objects and liquid droplets on water is critical to natural and industrial activities. This paper reports the floating mechanism of liquid marbles, or liquid droplets coated with hydrophobic microparticles. We used X-ray computed tomography (XCT) to acquire cross-sectional images of the floating liquid marble and interface between the different phases. We then analysed the shape of the liquid marble and the angles at the three-phase contact line (TPCL). We found that the small floating liquid marbles follow the mechanism governing the flotation of solid objects in terms of surface tension forces. However, the contact angles formed and deformation of the liquid marble resemble that of a sessile liquid droplet on a thin, elastic solid. For small liquid marbles, the contact angle varies with volume due to the deformability of the interface.

  17. Posterolateral knee reconstruction.

    PubMed

    Djian, P

    2015-02-01

    Injury to the cruciate ligaments of the knee commonly occurs in association with posterolateral instability, which can cause severe functional disability including varus, posterior translation, and external rotational instability. Failure to diagnose and treat an injury of the posterolateral corner in a patient who has a tear of the cruciate ligament can also result in the failure of the reconstructed cruciate ligament. There seems to be a consensus of opinion that injury to the posterolateral corner, whether isolated or combined, is best treated by reconstructing the posterolateral corner along with the coexisting cruciate ligament injury, if combined. Commonly proposed methods of reconstructing the posterolateral corner have focused on the reconstruction of the popliteus, the popliteofibular ligament, and the lateral collateral ligament. The aim of this conference is to describe the posterolateral corner reconstruction technique and to provide an algorithm of treatment. PMID:25596981

  18. Floating plant can get uranium from seawater

    SciTech Connect

    Not Available

    1984-02-01

    A floating plant has been designed to extract uranium from seawater using solid adsorbents. Ore is removed from the adsorbent material by means of a solvent and concentrated in ion exchangers. Seawater is supplied to the adsorbent inside by wave energy and is based on the principle that waves will rush up a sloping plane that is partly submerged and fill a reservoir to a level higher than the still water level in the sea. The company projects that an offshore plant for recovering 600 tons of uranium/yr would comprise 22 floating concrete units, each measuring 430 x 75 meters.

  19. Hydrodynamic Tests of Models of Seaplane Floats

    NASA Technical Reports Server (NTRS)

    Eula, Antonio

    1935-01-01

    This report contains the results of tank tests carried out at free trim on seventeen hulls and floats of various types. The data as to the weight on water, trim, and relative resistance for each model are plotted nondimensionally and are referenced both to the total weight and to the weight on water. Despite the fact that the experiments were not made systematically, a study of the models and of the test data permits nevertheless some general deductions regarding the forms of floats and their resistance. One specific conclusion is that the best models have a maximum relative resistance not exceeding 20 percent of the total weight.

  20. Anterior Knee Pain (Chondromalacia Patellae).

    ERIC Educational Resources Information Center

    Garrick, James G.

    1989-01-01

    This article presents a pragmatic approach to the definition, diagnosis, and management of anterior knee pain. Symptoms and treatment are described. Emphasis is on active involvement of the patient in the rehabilitation exercise program. (IAH)

  1. Knee Brace Would Lock And Unlock Automatically

    NASA Technical Reports Server (NTRS)

    Myers, Neill; Forbes, John; Shadoan, Mike; Baker, Kevin

    1995-01-01

    Proposed knee brace designed to aid rehabilitation of person who suffered some muscle damage in leg. Not limited to locking in straight-leg position and, instead, locks at any bend angle. Does not prevent knee from bearing weight. Instead, knee brace allows knee to bear weight and locks only when foot and lower leg bear weight. Thus, brace prevents flexion that wearer desired to prevent but could not prevent because of weakened muscles. Knee bends freely to exercise knee-related muscles. Knee brace strapped at upper end to leg above knee, and anchored at lower end by stirrup under foot. Joint mechanism (identical mechanisms used in left and right assemblies) allows knee joint to flex freely except when weight applied to heel.

  2. Improvements in floating point addition/subtraction operations

    DOEpatents

    Farmwald, P.M.

    1984-02-24

    Apparatus is described for decreasing the latency time associated with floating point addition and subtraction in a computer, using a novel bifurcated, pre-normalization/post-normalization approach that distinguishes between differences of floating point exponents.

  3. Analysis of Joint Sounds in the Diagnosis of Knee Disorders

    ClinicalTrials.gov

    2015-07-22

    Healthy Patients; No Knee Complaints; No Knee Injuries; No Knee Surgeries; No Neurological Problems; Patients Undergoing Knee Arthroscopy, Who Has a Pre-op MRI; Age Groups of 20,40 and 60 Years of Age.

  4. Do Knee Moments Normalized to Measures of Knee Cartilage Area Better Classify the Severity of Knee Osteoarthritis?

    PubMed

    Brisson, Nicholas M; Stratford, Paul W; Totterman, Saara; Tamez-Peña, José G; Beattie, Karen A; Adachi, Jonathan D; Maly, Monica R

    2015-12-01

    Investigations of joint loading in knee osteoarthritis (OA) typically normalize the knee adduction moment to global measures of body size (eg, body mass, height) to allow comparison between individuals. However, such measurements may not reflect knee size. This study used a morphometric measurement of the cartilage surface area on the medial tibial plateau, which better represents medial knee size. This study aimed to determine whether normalizing the peak knee adduction moment and knee adduction moment impulse during gait to the medial tibial bone-cartilage interface could classify radiographic knee OA severity more accurately than traditional normalization techniques. Individuals with mild (N = 22) and severe (N = 17) radiographic knee OA participated. The medial tibial bone-cartilage interface was quantified from magnetic resonance imaging scans. Gait analysis was performed, and the peak knee adduction moment and knee adduction moment impulse were calculated in nonnormalized units and normalized to body mass, body weight × height, and the medial tibial bone-cartilage interface. Receiver operating characteristic curves compared the ability of each knee adduction moment normalization technique to classify participants according to radiographic disease severity. No normalization technique was superior at distinguishing between OA severities. Knee adduction moments normalized to medial knee size were not more sensitive to OA severity.

  5. Improving the performance of floating solar pool covers

    SciTech Connect

    Cole, M.A.; Lowrey, P. . Dept. of Mechanical Engineering)

    1992-11-01

    Experimental and analytical analyses are presented for the evaluation of heat transfer through floating solar swimming pool covers. Two improved floating solar swimming pool cover designs are proposed and investigated in this paper. The results conclusively show that both new cover designs should have significantly better performance than conventional floating solar swimming pool covers.

  6. 46 CFR 131.870 - Life floats and buoyant apparatus.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Life floats and buoyant apparatus. 131.870 Section 131... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.870 Life floats and buoyant apparatus. (a) The name of the vessel must be plainly marked or painted on each life float or buoyant...

  7. 46 CFR 131.870 - Life floats and buoyant apparatus.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Life floats and buoyant apparatus. 131.870 Section 131... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.870 Life floats and buoyant apparatus. (a) The name of the vessel must be plainly marked or painted on each life float or buoyant...

  8. 46 CFR 131.870 - Life floats and buoyant apparatus.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Life floats and buoyant apparatus. 131.870 Section 131... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.870 Life floats and buoyant apparatus. (a) The name of the vessel must be plainly marked or painted on each life float or buoyant...

  9. 46 CFR 131.870 - Life floats and buoyant apparatus.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.870 Life floats and buoyant apparatus. (a) The name of the vessel must be plainly marked or painted on each life float or buoyant apparatus... 46 Shipping 4 2011-10-01 2011-10-01 false Life floats and buoyant apparatus. 131.870 Section...

  10. 46 CFR 131.870 - Life floats and buoyant apparatus.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OPERATIONS Markings for Fire Equipment and Emergency Equipment § 131.870 Life floats and buoyant apparatus. (a) The name of the vessel must be plainly marked or painted on each life float or buoyant apparatus... 46 Shipping 4 2010-10-01 2010-10-01 false Life floats and buoyant apparatus. 131.870 Section...

  11. 14 CFR 23.535 - Auxiliary float loads.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... symmetry of the float at a point three-fourths of the distance from the bow to the step and must be... symmetry of the float to the radius of gyration in roll. (c) Bow loading. The resultant limit load must be applied in the plane of symmetry of the float at a point one-fourth of the distance from the bow to...

  12. 14 CFR 23.535 - Auxiliary float loads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... symmetry of the float at a point three-fourths of the distance from the bow to the step and must be... symmetry of the float to the radius of gyration in roll. (c) Bow loading. The resultant limit load must be applied in the plane of symmetry of the float at a point one-fourth of the distance from the bow to...

  13. 14 CFR 25.753 - Main float design.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float design. 25.753 Section 25.753 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Design and Construction Floats and Hulls § 25.753 Main float...

  14. 14 CFR 25.535 - Auxiliary float loads.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... follows: EC28SE91.043 where— ρ=mass density of water (slugs/ft.2); V=volume of float (ft.2); C x... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Structure Water Loads § 25.535 Auxiliary float loads. (a..., the prescribed water loads may be distributed over the float bottom to avoid excessive local...

  15. 33 CFR 144.01-15 - Alternates for life floats.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Alternates for life floats. 144... for life floats. (a) Approved lifeboats, approved life rafts or approved inflatable life rafts may be used in lieu of approved life floats for either all or part of the capacity required. When...

  16. 33 CFR 144.01-15 - Alternates for life floats.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Alternates for life floats. 144... for life floats. (a) Approved lifeboats, approved life rafts or approved inflatable life rafts may be used in lieu of approved life floats for either all or part of the capacity required. When...

  17. 14 CFR 29.757 - Hull and auxiliary float strength.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... distributed water pressures over the hull and float bottom. Personnel and Cargo Accommodations ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Hull and auxiliary float strength. 29.757... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Floats and...

  18. 14 CFR 29.757 - Hull and auxiliary float strength.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... distributed water pressures over the hull and float bottom. Personnel and Cargo Accommodations ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Hull and auxiliary float strength. 29.757... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Floats and...

  19. 14 CFR 29.757 - Hull and auxiliary float strength.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... distributed water pressures over the hull and float bottom. Personnel and Cargo Accommodations ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Hull and auxiliary float strength. 29.757... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Floats and...

  20. 14 CFR 29.757 - Hull and auxiliary float strength.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... distributed water pressures over the hull and float bottom. Personnel and Cargo Accommodations ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Hull and auxiliary float strength. 29.757... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Floats and...

  1. Genetics Home Reference: Floating-Harbor syndrome

    MedlinePlus

    ... Arpin S, Afenjar A, Dubern B, Toutain A, Cabrol S, Héron D. Floating-Harbor Syndrome: report on a case ... G, Whiteford ML, Quaio CR, Gomy I, Bertola DR, Albrecht B, Platzer K, McGillivray G, Zou R, ...

  2. 14 CFR 23.757 - Auxiliary floats.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Auxiliary floats. 23.757 Section 23.757 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... fresh water, they provide a righting moment of at least 1.5 times the upsetting moment caused by...

  3. Subtropical Productivity from Profiling Floats and Gliders

    NASA Astrophysics Data System (ADS)

    Nicholson, D. P.; Johnson, K. S.; Karl, D. M.

    2015-12-01

    Since 2007 profiling floats equipped with dissolved oxygen and nitrate sensors have been released from the Hawaii Ocean Time-series (HOT) and Bermuda Atlantic Time-series Study (BATS) sites and can be calibrated using time-series observations. More recent deployments have also included bio-optical and pH sensors. Gliders with oxygen sensors and bio-optics have been intermittently deployed near HOT Station ALOHA since 2008 and at BATS since 2014. While gliders maintain a restricted survey region near the time-series stations, profiling floats drifted widely across the subtropical gyres. Multiple floats and gliders enables a cotemporaneous comparison of biogeochemical processes across gyres. These platforms enable observations on spatial scales from submesoscale to basin scale and on temporal scales from diel to interannual. Here, I focus on the spatiotemporal variability of nitrate and oxygen mass balances in the North Pacific and North Atlantic subtropical gyres using a data-assimilating and float-tracking 1D upper ocean model.

  4. Dealing with Human Death: The Floating Perspective.

    ERIC Educational Resources Information Center

    Kenyon, Gary M.

    1991-01-01

    Explores approach to dealing with human death. Describes floating perspective, based on insights from Choron and Jaspers, as suggesting it is possible to deal with human death by refraining from taking ultimate position on the problem. Position encourages openness to death. Examines role of anxiety and describes possible meaningful outcomes of…

  5. Floating--A Key to Survival.

    ERIC Educational Resources Information Center

    Anderson, Norman

    1980-01-01

    Described are several activities to be used to help students grasp the concept of floating. The activities include the use of a spring scale to measure the weight of the objects in air, in water, and in salt water, and a discussion of why there are differences in these weights. (DS)

  6. Immunohistochemistry on freely floating fixed tissue sections.

    PubMed

    Bachman, Julia

    2013-01-01

    Immunohistochemistry on free floating tissue sections is done for many reasons, all of which involve labeling tissue to visualize a certain cell type, protein, or structural component. Visualization is aided by mounting sections on microscope slides for stabilization, and is in most cases necessary for the appropriate use of objectives with a high numerical aperture and high degree of magnification.

  7. The incidence of knee and anterior cruciate ligament injuries over one decade in the Belgian Soccer League.

    PubMed

    Quisquater, Laurent; Bollars, Peter; Vanlommel, Luc; Claes, Steven; Corten, Kristoff; Bellemans, Johan

    2013-10-01

    In an epidemiological study we assessed the evolution in the incidence and possible risk factors of knee injuries, especially anterior cruciate ligament (ACL) injuries, in Belgian soccer over one decade. Two soccer seasons (1999-2000 and 2009-2010) were compared and 56,364 injury reports registered by the KBVB-URBSFA were retrieved. Knee injuries totaled 9.971 cases, 5.495 in the first season (1999-2000) and 4.476 in the second (2009-2010): a significant decrease in incidence from 1.5 per 100 players in 2000 to 1.2 knee injuries in 2010. Six percent of all knee injuries were ACL injuries. The reported incidence of ACL tears slightly increased from 0.081 to 0.084 per 100 players. Female gender, competition and age over 18 years were prognosticators for ACL injuries. Enhanced prevention programs for ACL injuries, especially in those sports groups are warranted.

  8. 49 CFR 572.166 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Knees and knee impact test procedure. 572.166... TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ANTHROPOMORPHIC TEST DEVICES Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.166 Knees and knee impact test procedure....

  9. 49 CFR 572.136 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Knees and knee impact test procedure. 572.136... TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ANTHROPOMORPHIC TEST DEVICES Hybrid III 5th Percentile Female Test Dummy, Alpha Version § 572.136 Knees and knee impact test...

  10. 49 CFR 572.126 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Knees and knee impact test procedure. 572.126... TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ANTHROPOMORPHIC TEST DEVICES Six-year-old Child Test Dummy, Beta Version § 572.126 Knees and knee impact test procedure. (a)...

  11. Comparison of knee gait kinematics of workers exposed to knee straining posture to those of non-knee straining workers.

    PubMed

    Gaudreault, Nathaly; Hagemeister, Nicola; Poitras, Stéphane; de Guise, Jacques A

    2013-06-01

    Workers exposed to knee straining postures, such as kneeling and squatting, may present modifications in knee gait kinematics that can make them vulnerable to osteoarthritis. In this study, knee kinematics of workers exposed to occupational knee straining postures (KS workers) were compared to those of non-knee straining (non-KS) workers. Eighteen KS workers and 20 non-KS workers participated in the study. Three-dimensional gait kinematic data were recorded at the knee using an electromagnetic motion tracking system. The following parameters were extracted from flexion/extension, adduction/abduction and internal/external rotation angle data and used for group comparisons: knee angle at initial foot contact, peak angles, minimal angles and angle range during the entire gait cycle. Group comparisons were performed with Student t-tests. In the sagittal plane, KS workers had a greater knee flexion angle at initial foot contact, a lower peak knee flexion angle during the swing phase and a lower angle range than non-KS workers (p<0.05). In the frontal plane, all parameters indicated that KS workers had their knees more adducted than non-KS workers. External/internal rotation range was greater for KS workers. This study provides new knowledge on work related to KS postures and knee kinematics. The results support the concept that KS workers might exhibit knee kinematics that are different from those of non-KS workers.

  12. Early knee osteoarthritis

    PubMed Central

    Favero, Marta; Ramonda, Roberta; Goldring, Mary B; Goldring, Steven R; Punzi, Leonardo

    2015-01-01

    Concepts regarding osteoarthritis, the most common joint disease, have dramatically changed in the past decade thanks to the development of new imaging techniques and the widespread use of arthroscopy that permits direct visualisation of intra-articular tissues and structure. MRI and ultrasound allow the early detection of pre-radiographic structural changes not only in the peri-articular bone but also in the cartilage, menisci, synovial membrane, ligaments and fat pad. The significance of MRI findings such as cartilage defects, bone marrow lesions, synovial inflammation/effusions and meniscal tears in patients without radiographic signs of osteoarthritis is not fully understood. Nevertheless, early joint tissue changes are associated with symptoms and, in some cases, with progression of disease. In this short review, we discuss the emerging concept of early osteoarthritis localised to the knee based on recently updated knowledge. We highlight the need for a new definition of early osteoarthritis that will permit the identification of patients at high risk of osteoarthritis progression and to initiate early treatment interventions. PMID:26557380

  13. Knee joint forces: prediction, measurement, and significance

    PubMed Central

    D’Lima, Darryl D.; Fregly, Benjamin J.; Patil, Shantanu; Steklov, Nikolai; Colwell, Clifford W.

    2011-01-01

    Knee forces are highly significant in osteoarthritis and in the survival and function of knee arthroplasty. A large number of studies have attempted to estimate forces around the knee during various activities. Several approaches have been used to relate knee kinematics and external forces to internal joint contact forces, the most popular being inverse dynamics, forward dynamics, and static body analyses. Knee forces have also been measured in vivo after knee arthroplasty, which serves as valuable validation of computational predictions. This review summarizes the results of published studies that measured knee forces for various activities. The efficacy of various methods to alter knee force distribution, such as gait modification, orthotics, walking aids, and custom treadmills are analyzed. Current gaps in our knowledge are identified and directions for future research in this area are outlined. PMID:22468461

  14. Congenital dislocation of the knee.

    PubMed

    Ko, J Y; Shih, C H; Wenger, D R

    1999-01-01

    Between February 1988 and June 1995, 24 congenital dislocations of the knee joints (17 patients) were reduced with closed methods including immediate reduction, serial casting, or traction in patients from 10 min to 26 days old. At an average follow-up of 4 years and 10 months, an excellent or good result was achieved if there were no associated anomalies. Fair or poor results were the result of delayed treatment or associated musculoskeletal anomalies including arthrogryposis multiplex congenita or Larsen's syndrome. Routine check of the hip dislocation is suggested. Diagnosis with manual testing was difficult, and other methods such as radiography or sonography were suggested in combination to detect hip dysplasia. The dislocated knee should be reduced before treating the hip dislocation. Concomitant treatment of the congenital dislocation of the knee and the hip with Pavlik harness provided satisfactory results. When late, progressive, genu valgus deformity occurred because of global instability of the knee and asymmetric physeal growth, reconstruction of the medial structures of the knee and prolonged bracing provided good results. PMID:10088699

  15. TOTAL KNEE REPLACEMENT IN PATIENTS WITH BELOW-KNEE AMPUTATION

    PubMed Central

    Karam, Matthew D; Willey, Michael; Shurr, Donald G

    2010-01-01

    Total knee replacement (TKR) is reserved for patients with severe and disabling arthritis that is non-responsive to conservative measures. Based on existing data, total knee replacement is a safe and cost-effective treatment for alleviating pain and improving physical function in patients who do not respond to conservative therapy. Despite the large variation in health status of patients and types of prosthesis implanted, total knee replacement has proven to be a relatively low risk and successful operation. Each year in the United States surgeons perform approximately 300,000 TKR.1 Likewise, lower extremity amputation is commonly performed in the United States with an annual incidence of 110,000 per year.2 Nearly 70% of all lower extremity amputations are performed as the result of chronic vascular disease, followed by trauma (22%), congenital etiology and tumor (4% each).3 Approximately 50% of all lower extremity amputations are performed secondary to complications from Diabetes Mellitus. Norvell et al. demonstrated that patients who have previously undergone transtibial amputation and ambulate with a prosthesis are more likely to develop degenerative joint disease in the con-tralateral extremity than the ipsilateral extremity.4 Further, radiographic changes consistent with osteoporosis have been demonstrated in up to 88% of limbs that have undergone transtibial amputation.8 To our knowledge, there have been only three reported cases of total knee replacement in patients with ipsilateral transtibial amputation.5,7 The purpose of the present study is to review the existing data on total knee replacement in patients who have undergone transtibial amputation. Further we present a patient with a transtibial amputation who underwent contralateral total knee replacement. PMID:21045987

  16. Snapping knee caused by symptomatic fabella in a native knee.

    PubMed

    Hire, Justin M; Oliver, David L; Hubbard, Ryan C; Fontaine, Michelle L; Bojescul, John A

    2014-08-01

    We report a case of a 31-year-old man with a 5-year history of snapping knee syndrome secondary to a single, large symptomatic fabella of the knee. On physical examination, the patient was able to reproduce an audible and palpable snapping with active range of motion. His condition was refractory to physical therapy. He had undergone a prior iliotibial band release at an outside facility. After excision of the fabella, measuring 15 × 8 × 9 mm, the patient's snapping and pain with activity were resolved.

  17. Self-reported previous knee injury and low knee function increase knee injury risk in adolescent female football.

    PubMed

    Clausen, M B; Tang, L; Zebis, M K; Krustrup, P; Hölmich, P; Wedderkopp, N; Andersen, L L; Christensen, K B; Møller, M; Thorborg, K

    2016-08-01

    Knee injuries are common in adolescent female football. Self-reported previous knee injury and low Knee injury and Osteoarthritis Outcome Score (KOOS) are proposed to predict future knee injuries, but evidence regarding this in adolescent female football is scarce. The aim of this study was to investigate self-reported previous knee injury and low KOOS subscale score as risk factors for future knee injuries in adolescent female football. A sample of 326 adolescent female football players, aged 15-18, without knee injury at baseline, were included. Data on self-reported previous knee injury and KOOS questionnaires were collected at baseline. Time-loss knee injuries and football exposures were reported weekly by answers to standardized text-message questions, followed by injury telephone interviews. A priori, self-reported previous knee injury and low KOOS subscale scores (< 80 points) were chosen as independent variables in the risk factor analyses. The study showed that self-reported previous knee injury significantly increased the risk of time-loss knee injury [relative risk (RR): 3.65, 95% confidence (CI) 1.73-7.68; P < 0.001]. Risk of time-loss knee injury was also significantly increased in players with low KOOS subscale scores (< 80 points) in Activities of Daily Living (RR: 5.0), Sport/Recreational (RR: 2.2) and Quality of Life (RR: 3.0) (P < 0.05). In conclusion, self-reported previous knee injury and low scores in three KOOS subscales significantly increase the risk of future time-loss knee injury in adolescent female football. PMID:26179111

  18. Knee Replacement - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Knee Replacement (Arabic) العربية Bilingual PDF Health Information Translations Bosnian (Bosanski) Total Knee Replacement Potpuna zamjena koljena - Bosanski (Bosnian) Bilingual PDF Health Information Translations Chinese - Simplified (简体中文) Total Knee Replacement 全膝关节置换 - 简体中文 ( ...

  19. Automatically Locking/Unlocking Orthotic Knee Joint

    NASA Technical Reports Server (NTRS)

    Weddendorf, Bruce

    1994-01-01

    Proposed orthotic knee joint locks and unlocks automatically, at any position within range of bend angles, without manual intervention by wearer. Includes tang and clevis, locks whenever wearer transfers weight to knee and unlocks when weight removed. Locking occurs at any angle between 45 degrees knee bend and full extension.

  20. The Truth Behind Subchondral Cysts in Osteoarthritis of the Knee

    PubMed Central

    Audrey, Han Xinyun; Abd Razak, Hamid Rahmatullah Bin; Andrew, Tan Hwee Chye

    2014-01-01

    Background: Subchondral cysts have always been taught to be one of the cardinal radiological features of knee osteoarthritis but are not well understood. We aimed to evaluate the radiological prevalence and epidemiology of subchondral cysts in patients with knee osteoarthritis to determine if they are truly a cardinal radiological feature. Methods: All patients of a single surgeon with symptoms of knee osteoarthritis were selected for this study. All patients had failed a trial of conservative therapy and were planned for total knee arthroplasty. Patients with symptoms of and documentary evidence of inflammatory arthritis, other neurological and orthopaedic problems causing functional deficits were excluded from this study. A total of 806 plain radiographs were analyzed with the aid of an atlas for the presence of narrowed joint space, osteophytes, subchondral sclerosis and subchondral cysts. The radiological prevalence of each feature was then calculated. Demographics and pre-operative measurements were compared between patients with and without radiological evidence of subchondral cysts. Results: Subchondral cysts were only present in 30.6% of the study population. Narrowed joint space was present in 99.5%, osteophytes in 98.1% and subchondral sclerosis in 88.3% of all radiographs. The differences in prevalence were statistically significant. There was a higher proportion of females in patients with radiological evidence of subchondral cysts. These patients also had a greater varus deformity preoperatively. Conclusion: With a radiological prevalence of 30.6%, subchondral cysts should not be considered a cardinal radiological feature of osteoarthritis. Subchondral cysts may be associated with the female gender and genu varum. PMID:24533038

  1. Early osteoarthritis of the knee.

    PubMed

    Madry, Henning; Kon, Elizaveta; Condello, Vincenzo; Peretti, Giuseppe M; Steinwachs, Matthias; Seil, Romain; Berruto, Massimo; Engebretsen, Lars; Filardo, Giuseppe; Angele, Peter

    2016-06-01

    There is an increasing awareness on the importance in identifying early phases of the degenerative processes in knee osteoarthritis (OA), the crucial period of the disease when there might still be the possibility to initiate treatments preventing its progression. Early OA may show a diffuse and ill-defined involvement, but also originate in the cartilage surrounding a focal lesion, thus necessitating a separate assessment of these two entities. Early OA can be considered to include a maximal involvement of 50 % of the cartilage thickness based on the macroscopic ICRS classification, reflecting an OARSI grade 4. The purpose of this paper was to provide an updated review of the current status of the diagnosis and definition of early knee OA, including the clinical, radiographical, histological, MRI, and arthroscopic definitions and biomarkers. Based on current evidence, practical classification criteria are presented. As new insights and technologies become available, they will further evolve to better define and treat early knee OA.

  2. Prosthetic knee Candida parapsilosis infection.

    PubMed

    Wada, M; Baba, H; Imura, S

    1998-06-01

    We report a 77-year-old man who developed Candida parapsilosis infection following total knee arthroplasty. Knee joint effusion was noted 2 weeks after surgery, and repeated cultures of aspirated fluid established the diagnosis of Candida parapsilosis infection 4 weeks after surgery. Treatment consisted of debridement and lavage of the involved joint together with continuous irrigation with fluconazole for 4 weeks, followed by oral fluconazole for another 6 months. At 3 years follow-up, the patient was doing well and radiological examination of the affected knee showed a firm attachment of the prosthesis. We suggest that early identification of the causative organism followed by continuous irrigation and use of appropriate antifungal medication may prevent joint instability and spares the removal of the prosthesis.

  3. Robotic-assisted knee arthroplasty.

    PubMed

    Banerjee, Samik; Cherian, Jeffrey J; Elmallah, Randa K; Jauregui, Julio J; Pierce, Todd P; Mont, Michael A

    2015-01-01

    Robotics in total knee arthroplasty (TKA) has undergone vast improvements. Although some of the systems have fallen out of favor due to safety concerns, there has been recent increased interest for semi-active haptic robotic systems that provide intraoperative tactile feedback to the surgeon. The potential advantages include improvements in radiographic outcomes, reducing the incidence of mechanical axis malalignment of the lower extremity and better tissue balance. Proponents of robotic technology believe that these improvements may lead to superior functional outcomes and implant survivorship. We aim to discuss robotic technology development, outcomes of unicompartmental and total knee arthroplasty and the future outlook. Short-term follow-up studies on robotic-assisted knee arthroplasty suggest that, although some alignment objectives may have been achieved, more studies regarding functional outcomes are needed. Furthermore, studies evaluating the projected cost-benefit analyses of this new technology are needed before widespread adoption. Nevertheless, the short-term results warrant further evaluation. PMID:26365088

  4. International Lymphoma Epidemiology Consortium

    Cancer.gov

    The InterLymph Consortium, or formally the International Consortium of Investigators Working on Non-Hodgkin's Lymphoma Epidemiologic Studies, is an open scientific forum for epidemiologic research in non-Hodgkin's lymphoma.

  5. Electrowetting propulsion of water-floating objects

    NASA Astrophysics Data System (ADS)

    Chung, Sang Kug; Ryu, Kyungjoo; Cho, Sung Kwon

    2009-07-01

    This letter describes a propulsion principle along with experimental verification of this principle by which an air-to-water interface vertically oscillated by ac electrowetting generates a quasisteady, "streaming" flow that can be utilized to propel water-floating objects. This propulsion does not require any mechanical moving parts. Using a centimeter-sized boat whose outer surfaces were covered with microfabricated electrowetting electrodes, linear, and rotational motions of the boat were achieved up to maximum speeds of 5 mm/s and 20 rpm, respectively. By combining the above two motions, the boat was successfully propelled and steered along a curvilinear pathline. A potential application of this principle is to propel and maneuver various water-floating mini/microrobots and boats used for water/air quality monitoring or surveillance/security purposes.

  6. Preparation of floating microspheres for fish farming.

    PubMed

    Nepal, Pushp R; Chun, Myung-Kwan; Choi, Hoo-Kyun

    2007-08-16

    The aim of this study was to develop floating microspheres with practical applications to fish farming. Each microsphere with a central hollow cavity was prepared using a solvent diffusion and evaporation method with Eudragit E100. Various manufacturing parameters were investigated by single factor method. The macrolide antibiotic josamycin was selected as a model drug. The loading efficiency of the drug in the microspheres was 64.7%. In the release study, virtually none of the drug was released into the fresh water whereas the entire drug was released from the josamycin-loaded microspheres into the simulated gastric fluid of rainbow trout (pH 2.7). The buoyancy was excellent with approximately 90% of the microspheres still floating after 24h.

  7. Virus infection and knee injury.

    PubMed Central

    Driscoll, P; Venner, R; Clements, G B

    1987-01-01

    Serological evidence of virus infection was sought in 31 consecutive patients presenting with knee swelling and compared with age/sex-matched controls. In a normal age/sex-matched control group, 42% of patients had evidence of recent or past infection with Coxsackie B virus, emphasising the care required in the evaluation of the significance of Coxsackie B neutralization titres in individual patients. Of 12 patients presenting with knee swelling and a history of a twisting injury, eight had serological evidence of recent or past infection with Coxsackie B virus, and one had evidence of a current adenovirus infection. PMID:2825728

  8. Irreducible dislocation of the knee.

    PubMed

    Schaefer, R A; Bellafiore, V A; Corzatt, R D

    1999-11-01

    Irreducible knee dislocation is a rare injury. This case report describes a knee dislocation in a 39-year-old male U.S. Army noncommissioned officer who was injured while playing in a softball game. Arthroscopy showed the medial collateral ligament and capsule to be locked in the intercondylar notch, covering the medial femoral condyle. Arthrotomy and open reduction were required. Staged posterior cruciate ligament reconstruction using patellar tendon autograft was later performed. Review of the magnetic resonance imaging scan showed the irreducible lesion. The diagnostic clinical and radiographic features of this unusual injury are described.

  9. TVFMCATS. Time Variant Floating Mean Counting Algorithm

    SciTech Connect

    Huffman, R.K.

    1999-05-01

    This software was written to test a time variant floating mean counting algorithm. The algorithm was developed by Westinghouse Savannah River Company and a provisional patent has been filed on the algorithm. The test software was developed to work with the Val Tech model IVB prototype version II count rate meter hardware. The test software was used to verify the algorithm developed by WSRC could be correctly implemented with the vendor`s hardware.

  10. Time Variant Floating Mean Counting Algorithm

    SciTech Connect

    Huffman, Russell Kevin

    1999-06-03

    This software was written to test a time variant floating mean counting algorithm. The algorithm was developed by Westinghouse Savannah River Company and a provisional patent has been filed on the algorithm. The test software was developed to work with the Val Tech model IVB prototype version II count rate meter hardware. The test software was used to verify the algorithm developed by WSRC could be correctly implemented with the vendor''s hardware.

  11. Floating vs flying: A propulsion energy comparison

    NASA Technical Reports Server (NTRS)

    Marbury, F.

    1975-01-01

    Floating craft are compared to those that fly. Drag/weight for floaters is shown to be proportional to v squared/L, while for flyers it is independent of size and speed. The transportation market will therefore assign airships to lower speeds than airplanes, and will favor large airship sizes. Drag of an airship is shown to be only 11 percent of submarine drag at equal displacement and speed, raising the possibility that airships can compete with some types of ships.

  12. Cancer Epidemiology Matters Blog

    Cancer.gov

    The Cancer Epidemiology Matters blog helps foster a dialogue between the National Cancer Institute's (NCI) Epidemiology and Genomics Research Program (EGRP), extramural researchers, and other individuals, such as clinicians, community partners, and advocates, who are interested in cancer epidemiology and genomics.

  13. Liquid encapsulated float zone process and apparatus

    NASA Technical Reports Server (NTRS)

    Naumann, Robert J. (Inventor); Frazier, Donald O. (Inventor); Lehoczky, Sandor L. (Inventor); Vlasse, Marcus (Inventor); Facemire, Barbara R. (Inventor)

    1988-01-01

    The process and apparatus for growing crystals using float zone techniques are described. A rod of crystalline materials is disposed in a cylindrical container, leaving a space between the rod and container walls. This space is filled with an encapsulant, selected to have a slightly lower melting point than the crystalline material. The rod is secured to a container end cap at one end and to a shaft at its other end. A piston slides over the rod and provides pressure to prevent loss of volatile components upon melting of the rod. Prior to melting the rod the container is first heated to melt the encapsulant, with any off-gas from this step being vented to a cavity behind the piston. The piston moves slightly forward owing to volume change upon melting of the encapsulant, and the vent passageway is closed. The container is then moved longitudinally through a heated zone to progressively melt sections of the rod as in conventional float zone processes. The float zone technique may be used in the microgravity environment of space.

  14. Floating debris in the Mediterranean Sea.

    PubMed

    Suaria, Giuseppe; Aliani, Stefano

    2014-09-15

    Results from the first large-scale survey of floating natural (NMD) and anthropogenic (AMD) debris (>2 cm) in the central and western part of the Mediterranean Sea are reported. Floating debris was found throughout the entire study area with densities ranging from 0 to 194.6 items/km(2) and mean abundances of 24.9 AMD items/km(2) and 6.9 NMD items/km(2) across all surveyed locations. On the whole, 78% of all sighted objects were of anthropogenic origin, 95.6% of which were petrochemical derivatives (i.e. plastic and styrofoam). Maximum AMD densities (>52 items/km(2)) were found in the Adriatic Sea and in the Algerian basin, while the lowest densities (<6.3 items/km(2)) were observed in the Central Tyrrhenian and in the Sicilian Sea. All the other areas had mean densities ranging from 10.9 to 30.7 items/km(2). According to our calculations, more than 62 million macro-litter items are currently floating on the surface of the whole Mediterranean basin.

  15. Borofloat and Starphire Float Glasses: A Comparison

    SciTech Connect

    Wereszczak, Andrew A.; Anderson Jr., Charles E.

    2014-10-28

    Borofloat® borosilicate float glass and Starphire® soda-lime silicate float glass are used in transparent protective systems. They are known to respond differently in some ballistic and triaxial loading conditions, and efforts are underway to understand the causes of those differences. Toward that, a suite of test and material characterizations were completed in the present study on both glasses so to identify what differences exist among them. Compositional, physical properties, elastic properties, flaw size distributions and concentrations, tensile/flexure strength, fracture toughness, spherical indentation and hardness, transmission electron microscopy, striae, high pressure responses via diamond anvil cell testing, laser shock differences, and internal porosity were examined. Differences between these two float glasses were identified for many of these properties and characteristics, and the role of three (striae, high pressures where permanent densification can initiate, and sub-micron-sized porosity) lack understanding and deserve further attention. Lastly, the contributing roles of any of those properties or characteristics to triaxial or ballistic loading responses are not definitive; however, they provide potential correlations that may lead to improved understanding and management of loading responses in glasses used in transparent protective systems.

  16. Borofloat and Starphire Float Glasses: A Comparison

    DOE PAGESBeta

    Wereszczak, Andrew A.; Anderson Jr., Charles E.

    2014-10-28

    Borofloat® borosilicate float glass and Starphire® soda-lime silicate float glass are used in transparent protective systems. They are known to respond differently in some ballistic and triaxial loading conditions, and efforts are underway to understand the causes of those differences. Toward that, a suite of test and material characterizations were completed in the present study on both glasses so to identify what differences exist among them. Compositional, physical properties, elastic properties, flaw size distributions and concentrations, tensile/flexure strength, fracture toughness, spherical indentation and hardness, transmission electron microscopy, striae, high pressure responses via diamond anvil cell testing, laser shock differences, andmore » internal porosity were examined. Differences between these two float glasses were identified for many of these properties and characteristics, and the role of three (striae, high pressures where permanent densification can initiate, and sub-micron-sized porosity) lack understanding and deserve further attention. Lastly, the contributing roles of any of those properties or characteristics to triaxial or ballistic loading responses are not definitive; however, they provide potential correlations that may lead to improved understanding and management of loading responses in glasses used in transparent protective systems.« less

  17. Floating debris in the Mediterranean Sea.

    PubMed

    Suaria, Giuseppe; Aliani, Stefano

    2014-09-15

    Results from the first large-scale survey of floating natural (NMD) and anthropogenic (AMD) debris (>2 cm) in the central and western part of the Mediterranean Sea are reported. Floating debris was found throughout the entire study area with densities ranging from 0 to 194.6 items/km(2) and mean abundances of 24.9 AMD items/km(2) and 6.9 NMD items/km(2) across all surveyed locations. On the whole, 78% of all sighted objects were of anthropogenic origin, 95.6% of which were petrochemical derivatives (i.e. plastic and styrofoam). Maximum AMD densities (>52 items/km(2)) were found in the Adriatic Sea and in the Algerian basin, while the lowest densities (<6.3 items/km(2)) were observed in the Central Tyrrhenian and in the Sicilian Sea. All the other areas had mean densities ranging from 10.9 to 30.7 items/km(2). According to our calculations, more than 62 million macro-litter items are currently floating on the surface of the whole Mediterranean basin. PMID:25127501

  18. [Rehabilitation after total knee arthroplasty of hip and knee].

    PubMed

    Jansen, E; Brienza, S; Gierasimowicz-Fontana, A; Matos, C; Reynders-Frederix-Dobre, C; HateM, S M

    2015-09-01

    Numbers of total hip and knee arthroplasties are increasing on a regular basis. Clinical pathways tend to shorten the duration of hospitalization in acute care after surgery. Therefore, the preoperative preparation of the patient and his abilities for postoperative rehabilitation should be carefully addressed. Before the surgical intervention, it is recommended that the patient receives an educational program and a physical preparation. After the surgical intervention, the patient can benefit from a home-based rehabilitation program supervised by a physiotherapist, if there were no preoperative reasons for prolonging the hospital stay and if the surgery took place without complications. Some patients may benefit from postsurgical rehabilitation in a specialized locomotor rehabilitation long-stay care unit. The indications for inpatient multidisciplinary rehabilitation are : two simultaneous arthroplasties, revision of a previous hip or knee arthroplasty, postsurgical complications, advanced age, comorbidities influencing the rehabilitation process, social difficulties, necessity for adaptation of the environment, insufficient or unadapted out-patient (para)medical care. The goals of the rehabilitation treatment depend on the patient's characteristics and environment, on the properties of the prosthesis and on the postsurgical complications. The functional prognosis of a total joint arthroplasty of the knee or hip is excellent, provided that there are no post-surgical complications and that the patient benefits from adequate rehabilitation therapy. The present paper describes the different phases of rehabilitation treatment and the general and specific complications of total hip and knee arthroplasties that may influence the rehabilitation outcome.

  19. [Rehabilitation after total knee arthroplasty of hip and knee].

    PubMed

    Jansen, E; Brienza, S; Gierasimowicz-Fontana, A; Matos, C; Reynders-Frederix-Dobre, C; HateM, S M

    2015-09-01

    Numbers of total hip and knee arthroplasties are increasing on a regular basis. Clinical pathways tend to shorten the duration of hospitalization in acute care after surgery. Therefore, the preoperative preparation of the patient and his abilities for postoperative rehabilitation should be carefully addressed. Before the surgical intervention, it is recommended that the patient receives an educational program and a physical preparation. After the surgical intervention, the patient can benefit from a home-based rehabilitation program supervised by a physiotherapist, if there were no preoperative reasons for prolonging the hospital stay and if the surgery took place without complications. Some patients may benefit from postsurgical rehabilitation in a specialized locomotor rehabilitation long-stay care unit. The indications for inpatient multidisciplinary rehabilitation are : two simultaneous arthroplasties, revision of a previous hip or knee arthroplasty, postsurgical complications, advanced age, comorbidities influencing the rehabilitation process, social difficulties, necessity for adaptation of the environment, insufficient or unadapted out-patient (para)medical care. The goals of the rehabilitation treatment depend on the patient's characteristics and environment, on the properties of the prosthesis and on the postsurgical complications. The functional prognosis of a total joint arthroplasty of the knee or hip is excellent, provided that there are no post-surgical complications and that the patient benefits from adequate rehabilitation therapy. The present paper describes the different phases of rehabilitation treatment and the general and specific complications of total hip and knee arthroplasties that may influence the rehabilitation outcome. PMID:26591319

  20. Open Knee: Open Source Modeling and Simulation in Knee Biomechanics.

    PubMed

    Erdemir, Ahmet

    2016-02-01

    Virtual representations of the knee joint can provide clinicians, scientists, and engineers the tools to explore mechanical functions of the knee and its tissue structures in health and disease. Modeling and simulation approaches such as finite element analysis also provide the possibility to understand the influence of surgical procedures and implants on joint stresses and tissue deformations. A large number of knee joint models are described in the biomechanics literature. However, freely accessible, customizable, and easy-to-use models are scarce. Availability of such models can accelerate clinical translation of simulations, where labor-intensive reproduction of model development steps can be avoided. Interested parties can immediately utilize readily available models for scientific discovery and clinical care. Motivated by this gap, this study aims to describe an open source and freely available finite element representation of the tibiofemoral joint, namely Open Knee, which includes the detailed anatomical representation of the joint's major tissue structures and their nonlinear mechanical properties and interactions. Three use cases illustrate customization potential of the model, its predictive capacity, and its scientific and clinical utility: prediction of joint movements during passive flexion, examining the role of meniscectomy on contact mechanics and joint movements, and understanding anterior cruciate ligament mechanics. A summary of scientific and clinically directed studies conducted by other investigators are also provided. The utilization of this open source model by groups other than its developers emphasizes the premise of model sharing as an accelerator of simulation-based medicine. Finally, the imminent need to develop next-generation knee models is noted. These are anticipated to incorporate individualized anatomy and tissue properties supported by specimen-specific joint mechanics data for evaluation, all acquired in vitro from varying age

  1. Knee extension torque variability after exercise in ACL reconstructed knees.

    PubMed

    Goetschius, John; Kuenze, Christopher M; Hart, Joseph M

    2015-08-01

    The purpose of this study was to compare knee extension torque variability in patients with ACL reconstructed knees before and after exercise. Thirty two patients with an ACL reconstructed knee (ACL-R group) and 32 healthy controls (control group) completed measures of maximal isometric knee extension torque (90° flexion) at baseline and following a 30-min exercise protocol (post-exercise). Exercise included 30-min of repeated cycles of inclined treadmill walking and hopping tasks. Dependent variables were the coefficient of variation (CV) and raw-change in CV (ΔCV): CV = (torque standard deviation/torque mean x 100), ΔCV = (post-exercise - baseline). There was a group-by-time interaction (p = 0.03) on CV. The ACL-R group demonstrated greater CV than the control group at baseline (ACL-R = 1.07 ± 0.55, control = 0.79 ± 0.42, p = 0.03) and post-exercise (ACL-R = 1.60 ± 0.91, control = 0.94 ± 0.41, p = 0.001). ΔCV was greater (p = 0.03) in the ACL-R group (0.52 ± 0.82) than control group (0.15 ± 0.46). CV significantly increased from baseline to post-exercise (p = 0.001) in the ACL-R group, while the control group did not (p = 0.06). The ACL-R group demonstrated greater knee extension torque variability than the control group. Exercise increased torque variability more in the ACL-R group than control group.

  2. Complex function of the knee joint: the current understanding of the knee.

    PubMed

    Hirschmann, Michael T; Müller, Werner

    2015-10-01

    Since the early years of orthopaedics, it is a well-known fact that anatomy follows function. During the evolution of mankind, the knee has been optimally adapted to the forces and loads acting at and through the knee joint. However, anatomy of the knee joint is variable and the only constant is its complex function. In contrast to the time of open surgery, nowadays the majority of reconstructive knee surgery is done arthroscopically. Keyhole surgery is less invasive, but on the backside, the knee surgeon lacks daily visualisation of the complex open anatomy. As open anatomical knowledge is less present in our daily practice, it is even more important to highlight this complex anatomy and function of the knee. It is the purpose of this review to perform a systematic review of knee anatomy, highlight the complex function of the knee joint and present an overview about recent and current knowledge about knee function. Level of evidence Systematic review, Level IV.

  3. Biomechanics of knee joint — A review

    NASA Astrophysics Data System (ADS)

    Madeti, Bhaskar Kumar; Chalamalasetti, Srinivasa Rao; Bolla Pragada, S. K. Sundara siva rao

    2015-06-01

    The present paper is to know how the work is carried out in the field of biomechanics of knee. Various model formulations are discussed and further classified into mathematical model, two-dimensional model and three-dimensional model. Knee geometry is a crucial part of human body movement, in which how various views of knee is shown in different planes and how the forces act on tibia and femur are studied. It leads to know the forces acting on the knee joint. Experimental studies of knee geometry and forces acting on knee shown by various researchers have been discussed, and comparisons of results are made. In addition, static and dynamic analysis of knee has been also discussed respectively to some extent.

  4. Immediate effect of Masai Barefoot Technology shoes on knee joint moments in women with knee osteoarthritis.

    PubMed

    Tateuchi, Hiroshige; Taniguchi, Masashi; Takagi, Yui; Goto, Yusuke; Otsuka, Naoki; Koyama, Yumiko; Kobayashi, Masashi; Ichihashi, Noriaki

    2014-01-01

    Footwear modification can beneficially alter knee loading in patients with knee osteoarthritis. This study evaluated the effect of Masai Barefoot Technology shoes on reductions in external knee moments in patients with knee osteoarthritis. Three-dimensional motion analysis was used to examine the effect of Masai Barefoot Technology versus control shoes on the knee adduction and flexion moments in 17 women (mean age, 63.6 years) with radiographically confirmed knee osteoarthritis. The lateral and anterior trunk lean values, knee flexion and adduction angles, and ground reaction force were also evaluated. The influence of the original walking pattern on the changes in knee moments with Masai Barefoot Technology shoes was evaluated. The knee flexion moment in early stance was significantly reduced while walking with the Masai Barefoot Technology shoes (0.25±0.14Nm/kgm) as compared with walking with control shoes (0.30±0.19 Nm/kgm); whereas the knee adduction moment showed no changes. Masai Barefoot Technology shoes did not increase compensatory lateral and anterior trunk lean. The degree of knee flexion moment in the original walking pattern with control shoes was correlated directly with its reduction when wearing Masai Barefoot Technology shoes by multiple linear regression analysis (adjusted R2=0.44, P<0.01). Masai Barefoot Technology shoes reduced the knee flexion moment during walking without increasing the compensatory trunk lean and may therefore reduce external knee loading in women with knee osteoarthritis.

  5. Floating Oil-Spill Containment Device

    NASA Technical Reports Server (NTRS)

    Jones, Jack A.

    2012-01-01

    Previous oil containment booms have an open top that allows natural gas to escape, and have significant oil leakage due to wave action. Also, a subsea pyramid oil trap exists, but cannot move relative to moving oil plumes from deepsea oil leaks. The solution is to have large, moveable oil traps. One version floats on the sea surface and has a flexible tarp cover and a lower weighted skirt to completely entrap the floating oil and natural gas. The device must have at least three sides with boats pulling at each apex, and sonar or other system to track the slowly moving oil plume, so that the boats can properly locate the booms. The oil trap device must also have a means for removal of the oil and the natural gas. A second design version has a flexible pyramid cover that is attached by lines to ballast on the ocean floor. This is similar to fixed, metal pyramid oil capture devices in the Santa Barbara Channel off the coast of California. The ballast lines for the improved design, however, would have winches that can move the pyramid to always be located above the oil and gas plume. A third design is a combination of the first two. It uses a submerged pyramid to trap oil, but has no anchor and uses boats to locate the trap. It has ballast weights located along the bottom of the tarp and/or at the corners of the trap. The improved floating oil-spill containment device has a large floating boom and weighted skirt surrounding the oil and gas entrapment area. The device is triangular (or more than three sides) and has a flexible tarp cover with a raised gas vent area. Boats pull on the apex of the triangles to maintain tension and to allow the device to move to optimum locations to trap oil and gas. The gas is retrieved from a higher buoyant part of the tarp, and oil is retrieved from the floating oil layer contained in the device. These devices can be operated in relatively severe weather, since waves will break over the devices without causing oil leaking. Also, natural

  6. Float processing of high-temperature complex silicate glasses and float baths used for same

    NASA Technical Reports Server (NTRS)

    Cooper, Reid Franklin (Inventor); Cook, Glen Bennett (Inventor)

    2000-01-01

    A float glass process for production of high melting temperature glasses utilizes a binary metal alloy bath having the combined properties of a low melting point, low reactivity with oxygen, low vapor pressure, and minimal reactivity with the silicate glasses being formed. The metal alloy of the float medium is exothermic with a solvent metal that does not readily form an oxide. The vapor pressure of both components in the alloy is low enough to prevent deleterious vapor deposition, and there is minimal chemical and interdiffusive interaction of either component with silicate glasses under the float processing conditions. Alloys having the desired combination of properties include compositions in which gold, silver or copper is the solvent metal and silicon, germanium or tin is the solute, preferably in eutectic or near-eutectic compositions.

  7. Petriellidium boydii infection of knee

    SciTech Connect

    Kemp, H.B.S.; Bedford, A.F.; Fincham, W.J.

    1982-12-01

    A case of Petriellidium boydii (synonym: Allescheria boydii) infection of the knee joint is described. It followed a penetrating soft tissue injury with a pitchfork. Such infections are rare in this country and bone involvement has not been recorded previously except in maduramycosis contracted in tropical areas.

  8. The Meniscus-Deficient Knee

    PubMed Central

    Rao, Allison J.; Erickson, Brandon J.; Cvetanovich, Gregory L.; Yanke, Adam B.; Bach, Bernard R.; Cole, Brian J.

    2015-01-01

    Meniscal tears are the most common knee injury, and partial meniscectomies are the most common orthopaedic surgical procedure. The injured meniscus has an impaired ability to distribute load and resist tibial translation. Partial or complete loss of the meniscus promotes early development of chondromalacia and osteoarthritis. The primary goal of treatment for meniscus-deficient knees is to provide symptomatic relief, ideally to delay advanced joint space narrowing, and ultimately, joint replacement. Surgical treatments, including meniscal allograft transplantation (MAT), high tibial osteotomy (HTO), and distal femoral osteotomy (DFO), are options that attempt to decrease the loads on the articular cartilage of the meniscus-deficient compartment by replacing meniscal tissue or altering joint alignment. Clinical and biomechanical studies have reported promising outcomes for MAT, HTO, and DFO in the postmeniscectomized knee. These procedures can be performed alone or in conjunction with ligament reconstruction or chondral procedures (reparative, restorative, or reconstructive) to optimize stability and longevity of the knee. Complications can include fracture, nonunion, patella baja, compartment syndrome, infection, and deep venous thrombosis. MAT, HTO, and DFO are effective options for young patients suffering from pain and functional limitations secondary to meniscal deficiency. PMID:26779547

  9. Polyethylene Wear in Knee Arthroplasty.

    PubMed

    Chakravarty, Rajit; Elmallah, Randa D K; Cherian, Jeffrey Jai; Kurtz, Steven M; Mont, Michael A

    2015-10-01

    Polyethylene (PE) wear and osteolysis are common causes for late revisions of knee arthroplasties. Several implant and surgical factors have been implicated in contributing to the development of wear, such as type of bearing surface used, inaccurate articular geometry, and poor knee kinematics. In addition, patient-related factors, such as younger age and higher activity levels, may also contribute to wear. Our purpose was to evaluate and compare the effect of these variables on wear rates following knee arthroplasty. Recently, technological advancements have been aimed at reducing the incidence of wear by improving the PE manufacturing process, creating implants that minimize contact stresses, and refining our surgical techniques. Furthermore, the development of newer highly cross-linked PEs (HXLPEs) and the introduction of additives, such as vitamin E, to the PEs may improve overall implant survivorship. As a result, with the advent of newer implant and PE designs, wear is no longer the most common cause of early failure, though it remains an important factor in limiting long-term implant survivorship. However, there are a few clinical studies evaluating the long-term outcomes of newer HXLPEs and implant designs, with further evaluations necessary to determine the best implant-PE combination for improved knee arthroplasty survivorship. PMID:26030263

  10. Phaeohyphomycosis infection in the knee.

    PubMed

    Sadigursky, David; Nogueira E Ferreira, Luisa; Moreno de Oliveira Corrêa, Liz

    2016-01-01

    Phaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar bursitis, and was treated with nonsteroidal anti-inflammatory drugs, without remission of symptoms. Surgical treatment was performed, with resection of the suprapatellar bursa and anterior region of the quadriceps tendon. The material was sent for anatomopathological examination and culturing. The pathological examination showed phaeohyphomycosis. The treatment instituted consisted of itraconazole, 200 mg/day for six weeks, and complete remission of symptoms was achieved. The physical examination remained normal after one year of follow-up. This is the first published case of phaeohyphomycosis infection in the suprapatellar region of the knee. Although almost all the cases reported have been associated with immunosuppressed patients, this was an exception. It is important to suspect phaeohyphomycosis in cases of knee infection, in the area of the suprapatellar bursa, when the symptoms do not resolve after clinical treatment.

  11. Tank Tests of Two Floats for High-speed Seaplanes

    NASA Technical Reports Server (NTRS)

    Bell, Joe W

    1933-01-01

    At the request of the Bureau of Aeronautics, Navy Department, a study of the design of floats especially suitable for use on high-speed seaplanes was undertaken in the N.A.C.A. tank. This note give the results obtained in tests of one-quarter full-size models of two floats for high-speed seaplanes. One was a float similar to that used on the Macchi high-speed seaplane which competed in the 1926 Schneider Trophy races, and the other a float designed at the N.A.C.A. tank in an attempt to improve on the water performance of the Macchi float. The model of the latter showed considerably better water performance than the model of the Macchi float.

  12. Dynamic splinting for knee flexion contracture following total knee arthroplasty: a case report.

    PubMed

    Finger, Eric; Willis, F Buck

    2008-01-01

    Total Knee Arthroplasty operations are increasing in frequency, and knee flexion contracture is a common pathology, both pre-existing and post-operative. A 61-year-old male presented with knee flexion contracture following a total knee arthroplasty. Physical therapy alone did not fully reduce the contracture and dynamic splinting was then prescribed for daily low-load, prolonged-duration stretch. After 28 physical therapy sessions, the active range of motion improved from -20 degrees to -12 degrees (stiff knee still lacking full extension), and after eight additional weeks with nightly wear of dynamic splint, the patient regained full knee extension, (active extension improved from -12 degrees to 0 degrees ).

  13. Parasitic diseases of marine fish: epidemiological and sanitary considerations.

    PubMed

    Fioravanti, M L; Caffara, M; Florio, D; Gustinelli, A; Marcer, F; Quaglio, F

    2006-06-01

    Over recent decades, parasitic diseases have been increasingly considered a sanitary and economic threat to Mediterranean aquaculture. In order to monitor the distribution of parasites in cultured marine fish from Italy and study their pathogenic effects on the host, a three-year survey based on parasitological and histopathological exams was carried out on 2141 subjects from eleven fish species and coming from different farming systems (extensive, intensive inland farms, inshore floating cages, offshore floating cages and submersible cages). A number of parasitic species was detected, mostly in European sea bass (Dicentrarchus labrax), gilthead sea bream (Sparus aurata), mullets (Chelon labrosus, Mugil cephalus, Liza ramada) and sharpsnout sea bream (Diplodus puntazzo), with distribution patterns and prevalence values varying in relation to the farming system, in-season period and size category. The epidemiology and pathological effects of the parasites found during the survey are discussed. PMID:16881387

  14. Submerged (under-liquid) floating of light objects.

    PubMed

    Bormashenko, Edward; Pogreb, Roman; Grynyov, Roman; Bormashenko, Yelena; Gendelman, Oleg

    2013-08-27

    A counterintuitive submerged floating of objects lighter than the supporting liquid was observed. Polymer plates with dimensions on the order of magnitude of the capillary length were hydrophilized with cold air plasma were floated in an "under-liquid" regime (totally covered by liquid) when immersed in water or glycerol. Profiles of liquid surfaces curved by polymer plates are measured. We propose a model explaining the phenomenon. The floating of Janus plates is reported.

  15. Environment parameters and basic functions for floating-point computation

    NASA Technical Reports Server (NTRS)

    Brown, W. S.; Feldman, S. I.

    1978-01-01

    A language-independent proposal for environment parameters and basic functions for floating-point computation is presented. Basic functions are proposed to analyze, synthesize, and scale floating-point numbers. The model provides a small set of parameters and a small set of axioms along with sharp measures of roundoff error. The parameters and functions can be used to write portable and robust codes that deal intimately with the floating-point representation. Subject to underflow and overflow constraints, a number can be scaled by a power of the floating-point radix inexpensively and without loss of precision. A specific representation for FORTRAN is included.

  16. Role of flexors in knee stability.

    PubMed

    Chen, C Y; Jiang, C C; Jan, M H; Lai, J S

    1995-05-01

    The muscle strength of knee extensors is commonly used as an indicator of a patient's functional recovery following reconstruction of the anterior cruciate ligament (ACL). The knee flexors are dynamic stabilizers that prevent tibial anterior displacement and may reinforce the function of the ACL. The purpose of this study was to examine the relationship of knee flexor performance assessed by isokinetic dynamometer and clinical evaluations including KT-1000 stability tests, shuttle run tests, thigh and calf circumference and range of motion of the knee joint. Ten patients who received ACL reconstruction over a 3- to 5-year period were included in this study, as were 15 normal controls who were tested for comparison. There was no significant difference in the time taken for the shuttle run test between normal controls and patients who underwent ACL, but there was a positive correlation between the shuttle run test and laxity of the knee joint. The knee laxity of ACL patients was significantly greater than that of the normal controls under passive anterior force. However, no significant difference was seen in the stability test under active contraction of the knee extensors. In addition, a positive correlation was seen between the KT-1000 knee ligament arthrometry test results and both torque acceleration energy and the average power of the flexors. These results suggest that physical therapy for patients following ACL reconstruction should emphasize the explosiveness of knee flexors to help strengthen the dynamic stability of the knee joint and motor performance.

  17. Evaluation and floating enhancement of levodopa sustained release floating minitablets coated with insoluble acrylic polymer.

    PubMed

    Goole, J; Amighi, K; Vanderbist, F

    2008-08-01

    This article describes the in vitro evaluation and the enhancement of the floating properties of coated sustained release (SR) minitablets (MTs). The evaluated system consisted of a 3-mm drug-containing gas-generating core prepared by melt granulation and subsequent compression, which was then coated with a flexible polymeric membrane. Eudragit RL30D and acetyl triethylcitrate were used as a film former and a plasticizer, respectively. The coating level was fixed at 20% (wt/wt). The optimally coated floating MTs floated within 10 min and remained buoyant for more than 13 h, regardless of the pH of the test medium. By evaluating the dissolution profiles of levodopa at different pH, it was found that the release of levodopa was sustained for more than 12 h regardless of the pH, even if the coating did not cancel the effect of the pH-dependent solubility of the active drug. Finally, the robustness of the coated floating MTs was assessed by testing the drug release variability in function of the stirring conditions during dissolution tests. PMID:18618310

  18. ["Floating interphalangeal joint". A case report].

    PubMed

    Aslan, M; Duroux, F; Delattre, O

    2013-02-01

    We report the case of a combination of closed extra-articular phalangeal fractures of the thumb, creating a floating interphalangeal joint. The lesions described were the result of a direct trauma to the thumb during the earthquake in Haiti in January 2010. It was fixed seven days after the trauma using a percutaneous external fixation with a dorsal frame or Martinique's "Ti'fix" - a modification of the Beaubourg fixator. We describe this simple, economical and improved quality method of fixation. Consolidation permitted the removal of the external fixator a month after surgery, followed by early mobilization. We report the functional and aesthetic results at 1-year follow-up.

  19. Floating hydrometer with energy dissipating baffle

    SciTech Connect

    Kownurko, W.A.

    1987-11-24

    This patent describes a floating hydrometer employable for purposes of obtaining measurements of the presence of suspended solids in a fluid substance contained in a receptacle comprising: a. a probe portion operative as an instrument-bearing housing; b. an elongated tubular element having a hollow interior and at least one open end so as to enable the flow into the hollow interior of the elongated tubular element through the open end; and c. energy dissipating baffle means having a first mode of action and a second mode of action and including a member having a hollow interior.

  20. Floating air riding seal for a turbine

    DOEpatents

    Ebert, Todd A

    2016-08-16

    A floating air riding seal for a gas turbine engine with a rotor and a stator, an annular piston chamber with an axial moveable annular piston assembly within the annular piston chamber formed in the stator, an annular cavity formed on the annular piston assembly that faces a seal surface on the rotor, where the axial moveable annular piston includes an inlet scoop on a side opposite to the annular cavity that scoops up the swirling cooling air and directs the cooling air to the annular cavity to form an air cushion with the seal surface of the rotor.

  1. The load supported by small floating objects.

    PubMed

    Vella, Dominic; Lee, Duck-Gyu; Kim, Ho-Young

    2006-07-01

    We consider the equilibrium flotation of a two-dimensional cylinder and a sphere at an interface between two fluids. We give conditions on the density and radius of these objects for them to be able to float at the interface and discuss the role played by the contact angle in determining these conditions. For cylinders with a small radius, we find that the maximum density is independent of contact angle but that, for spheres, the contact angle enters at leading order in the particle radius. Our theoretical predictions are in agreement with experimental results.

  2. The effect of total knee arthroplasty on knee joint kinematics and kinetics during gait.

    PubMed

    Hatfield, Gillian L; Hubley-Kozey, Cheryl L; Astephen Wilson, Janie L; Dunbar, Michael J

    2011-02-01

    This study determined how total knee arthroplasty (TKA) altered knee motion and loading during gait. Three-dimensional kinematic and kinetic gait patterns of 42 patients with severe knee osteoarthritis were collected 1 week prior and 1-year post-TKA. Principal component analysis extracted major patterns of variability in the gait waveforms. Overall and midstance knee adduction moment magnitude decreased. Overall knee flexion angle magnitude increased due to an increase during swing. Increases in the early stance knee flexion moment and late stance knee extension moment were found, indicating improved impact attenuation and function. A decrease in the early stance knee external rotation moment indicated alteration in the typical rotation mechanism. Most changes moved toward an asymptomatic pattern and would be considered improvements in motion, function, and loading.

  3. Editorial Commentary: Platelet-Rich Plasma Improves Knee Pain and Function in Patients With Knee Osteoarthritis.

    PubMed

    Lubowitz, James H

    2015-11-01

    Systematic review of overlapping meta-analyses shows that platelet-rich plasma improves knee pain and function in patients with knee osteoarthritis. Ultimately, biologics hold promise for chondroprotection in addition to symptomatic relief. PMID:26542203

  4. Anterior knee pain following primary total knee arthroplasty.

    PubMed

    Shervin, David; Pratt, Katelyn; Healey, Travis; Nguyen, Samantha; Mihalko, William M; El-Othmani, Mouhanad M; Saleh, Khaled J

    2015-11-18

    Despite improvements in technique and technology for total knee arthroplasty (TKA), anterior knee pain impacts patient outcomes and satisfaction. Addressing the prosthetic and surgical technique related causes of pain after TKA, specifically as it relates to anterior knee pain, can aid surgeons in addressing these issues with their patients. Design features of the femoral and patellar components which have been reported as pain generators include: Improper femoral as well as patellar component sizing or designs that result in patellofemoral stuffing; a shortened trochlear groove distance from the flange to the intercondylar box; and then surgical technique related issues resulting in: Lateral patellar facet syndrome; overstuffed patella/flange combination; asymmetric patellar resurfacing, improper transverse plane component rotation resulting in patellar subluxation/tilt. Any design consideration that allows impingement of extensor mechanism anatomical elements has the possibility of impacting outcome by becoming a pain generator. As the number of TKA procedures continues to increase, it is increasingly critical to develop improved, evidence based prostheses that maximize function and patient satisfaction while minimizing pain and other complications. PMID:26601061

  5. Anterior knee pain following primary total knee arthroplasty

    PubMed Central

    Shervin, David; Pratt, Katelyn; Healey, Travis; Nguyen, Samantha; Mihalko, William M; El-Othmani, Mouhanad M; Saleh, Khaled J

    2015-01-01

    Despite improvements in technique and technology for total knee arthroplasty (TKA), anterior knee pain impacts patient outcomes and satisfaction. Addressing the prosthetic and surgical technique related causes of pain after TKA, specifically as it relates to anterior knee pain, can aid surgeons in addressing these issues with their patients. Design features of the femoral and patellar components which have been reported as pain generators include: Improper femoral as well as patellar component sizing or designs that result in patellofemoral stuffing; a shortened trochlear groove distance from the flange to the intercondylar box; and then surgical technique related issues resulting in: Lateral patellar facet syndrome; overstuffed patella/flange combination; asymmetric patellar resurfacing, improper transverse plane component rotation resulting in patellar subluxation/tilt. Any design consideration that allows impingement of extensor mechanism anatomical elements has the possibility of impacting outcome by becoming a pain generator. As the number of TKA procedures continues to increase, it is increasingly critical to develop improved, evidence based prostheses that maximize function and patient satisfaction while minimizing pain and other complications. PMID:26601061

  6. 40 CFR 426.50 - Applicability; description of the float glass manufacturing subcategory.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... float glass manufacturing subcategory. 426.50 Section 426.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS GLASS MANUFACTURING POINT SOURCE CATEGORY Float Glass Manufacturing Subcategory § 426.50 Applicability; description of the float...

  7. 40 CFR 426.50 - Applicability; description of the float glass manufacturing subcategory.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... float glass manufacturing subcategory. 426.50 Section 426.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS GLASS MANUFACTURING POINT SOURCE CATEGORY Float Glass Manufacturing Subcategory § 426.50 Applicability; description of the float...

  8. Parametric modelling of a knee joint prosthesis.

    PubMed

    Khoo, L P; Goh, J C; Chow, S L

    1993-01-01

    This paper presents an approach for the establishment of a parametric model of knee joint prosthesis. Four different sizes of a commercial prosthesis are used as an example in the study. A reverse engineering technique was employed to reconstruct the prosthesis on CATIA, a CAD (computer aided design) system. Parametric models were established as a result of the analysis. Using the parametric model established and the knee data obtained from a clinical study on 21 pairs of cadaveric Asian knees, the development of a prototype prosthesis that suits a patient with a very small knee joint is presented. However, it was found that modification to certain parameters may be inevitable due to the uniqueness of the Asian knee. An avenue for rapid modelling and eventually economical production of a customized knee joint prosthesis for patients is proposed and discussed.

  9. [Epidemiology of Kawasaki disease].

    PubMed

    Nakamura, Yosikazu

    2014-09-01

    Epidemiologic features of Kawasaki disease, in particular in Japan, were summarized. There were three aspects of the epidemiology: (1) frequency(descriptive epidemiology), (2) risk factors(e.g. case-control studies), and (3) natural history(follow-up studies). The nationwide surveys, which was established in 1970, revealed the epidemiologic features of the disease. The number of patients and incidence rate have elevated since mid-1990s. Descriptive features indicates the association between disease onset and both infection and the hosts' factors. A follow-up study over 20 years has been conducted, but it should be continued till all the participants pass away.

  10. A prosthetic knee using magnetorhelogical fluid damper for above-knee amputees

    NASA Astrophysics Data System (ADS)

    Park, Jinhyuk; Choi, Seung-Bok

    2015-04-01

    A prosthetic knee for above-knee (AK) amputees is categorized into two types; namely a passive and an active type. The passive prosthetic knee is generally made by elastic materials such as carbon fiber reinforced composite material, titanium and etc. The passive prosthetic knee easy to walk. But, it has disadvantages such that a knee joint motion is not similar to ordinary people. On the other hand, the active prosthetic knee can control the knee joint angle effectively because of mechanical actuator and microprocessor. The actuator should generate large damping force to support the weight of human body. But, generating the large torque using small actuator is difficult. To solve this problem, a semi-active type prosthetic knee has been researched. This paper proposes a semi-active prosthetic knee using a flow mode magneto-rheological (MR) damper for AK amputees. The proposed semi-active type prosthetic knee consists of the flow mode MR damper, hinge and prosthetic knee body. In order to support weight of human body, the required energy of MR damper is smaller than actuator of active prosthetic leg. And it can control the knee joint angle by inducing the magnetic field during the stance phase.

  11. Drilling and production from a floating spar

    SciTech Connect

    Brooks, I.H.; Carroll, J.P.

    1994-12-31

    A deepwater drilling and production platform has been designed based on a floating spar. The spar is a catenary-moored cylindrical vessel having a deep draft which minimizes heave motions. The concept is an economic competitor with other deep water designs such as compliant towers and tension leg platforms. The spar`s oil storage capacity makes it particularly applicable for remote areas where pipeline infrastructure is unavailable and production is primarily from oil reservoirs. Without the need for a swivel, offloading of oil can be accomplished either directly from the spar, by use of a floating hose and support vessel, or by transfer to an offloading buoy. The concept is compatible with early production or phased development scenarios, permits surface completions of producing and injection wells, and allows for direct well intervention. The ability to reposition the spar by manipulations of the mooring lines favors a system of individual wellheads on the seafloor. Wells can be drilled, completed, and produced without pulling the drilling riser. When production from the field reaches its economic limit, the entire system can be towed to a new location and reused.

  12. Water-Pressure Distribution on Seaplane Float

    NASA Technical Reports Server (NTRS)

    Thompson, F L

    1929-01-01

    The investigation presented in this report was conducted for the purpose of determining the distribution and magnitude of water pressures likely to be experienced on seaplane hulls in service. It consisted of the development and construction of apparatus for recording water pressures lasting one one-hundredth second or longer and of flight tests to determine the water pressures on a UO-1 seaplane float under various conditions of taxiing, taking off, and landing. The apparatus developed was found to operate with satisfactory accuracy and is suitable for flight tests on other seaplanes. The tests on the UO-1 showed that maximum pressures of about 6.5 pounds per square inch occur at the step for the full width of the float bottom. Proceeding forward from the step the maximum pressures decrease in magnitude uniformly toward the bow, and the region of highest pressures narrows toward the keel. Immediately abaft the step the maximum pressures are very small, but increase in magnitude toward the stern and there once reached a value of about 5 pounds per square inch. (author)

  13. Evaporation mitigation using floating modular devices

    NASA Astrophysics Data System (ADS)

    Hassan, M. Mahmudul; Peirson, William Leslie; Neyland, Bryce M.; Fiddis, Nicholas McQuistan

    2015-11-01

    Reducing evaporation losses from open water storages is of paramount importance in the improvement of water security in arid countries, including Australia. Widespread adoption of evaporation mitigation techniques has been prevented by their high capital and maintenance or operating costs. The use of clean, floating recycled materials to mitigate evaporation technique has been investigated systematically at sites within both the coastal and semi-arid zones of Australia. Evaporation reduction systematically increases with the proportion of covered surface. Evaporation is reduced by 43% at coastal site and 37% at arid zone site at the maximum packing densities achievable for a single layer of floating devices. The study highlights the importance of both long-term investigations and the climatic influences in the robust quantification of evaporation mitigation. The effects of solar radiation, temperature, wind speed and relative humidity on the evaporation rate at both study sites have been determined in terms of both the classical Penman model and FAO Penman Monteith model with corresponding pan coefficients quantified. FAO Penman Monteith model better estimates evaporation from the open reference tank.

  14. Evaporation mitigation by floating modular devices

    NASA Astrophysics Data System (ADS)

    Hassan, M. M.; Peirson, W. L.

    2016-05-01

    Prolonged periods of drought and consequent evaporation from open water bodies in arid parts of Australia continue to be a threat to water availability for agricultural production. Over many parts of Australia, the annual average evaporation exceeds the annual precipitation by more than 5 times. Given its significance, it is surprising that no evaporation mitigation technique has gained widespread adoption to date. High capital and maintenance costs of manufactured products are a significant barrier to implementation. The use of directly recycled clean plastic containers as floating modular devices to mitigate evaporation has been investigated for the first time. A six-month trial at an arid zone site in Australia of this potential cost effective solution has been undertaken. The experiment was performed using clean conventional drinking water bottles as floating modules on the open water surface of 240-L tanks with three varying degrees of covering (nil, 34% and 68%). A systematic reduction in evaporation is demonstrated during the whole study period that is approximately linearly proportional to the covered surface. These results provide a potential foundation for robust evaporation mitigation with the prospect of implementing a cost-optimal design.

  15. Modal testing variability of spherical marine floats.

    SciTech Connect

    Robertson, A. N.; Hemez, F. M.; Salazar, I. F.; Duffey, T. A.

    2004-01-01

    This study investigates the variability in modal data obtained from testing a set of hollow, almost spherical marine floats. Four sources of variability are investigated: unit-to -unit variability, operator-to-operator variability, test repetition, and accelerometer placement. Because moving the accelerometers implies a test setup reconfiguration, it is expected that variability due to accelerometer placement should encompass variability due to test repetition. Similarly, the unit-to-unit variability should encompass both accelerometer placement variability and test-to -test variability. Impulse and frequency response functions are estimated from the measured excitation and response of the marine floats. A series of techniques are then used to assess the variation of the modal properties between each test, including: a measure of the spread of the frequency response functions in each test group; the variation of the temporal moments, spectral moments, and principal components; and the variability of resonant frequencies and modal damping ratios extracted from the data. The effects of mass and geometry on variability are also investigated. A strong correlation between the frequency and mass is found for the fundamental mode only. The main conclusion is that the majority of analysis techniques find the unit-to-unit variability to be the largest by a significant margin. The second largest is the variability caused by accelerometer placement. Next are the operator-to-operator variability and test-to -test variability.

  16. A laboratory study of floating lenticular anticyclones

    NASA Astrophysics Data System (ADS)

    Le Gal, Patrice; de La Rosa, Hector; Cros, Anne; Cruz-Gomez, Raúl; Le Bars, Michael

    2014-11-01

    Oceanic vortices play an important role in the redistribution of heat, salt and momentum in the oceans. Among these vortices, floating lenses or rings are often met in the meanders of warm currents. For instance the North Brazil Current rings are among the most intense and large anticyclonic vortices on Earth. In order to better describe these vortices, we propose here a laboratory study of these floating anticyclonic lenses. A blob of fresh water is slowly injected near the surface of a rotating layer of homogeneous salted water. Because of the opposite effects of rotation that tends to generate columnar structures and density stratification that spreads light water on the surface, the vortices take a finite size three dimensionnal typical shape. Visualization and PIV measurements of the shape, aspect ratios and vorticity profiles are compared to analytical predictions that use first a simple solid body rotation model and then a more realistic isolated Gaussian vorticity field inside the anticyclones. This work was carried out within the framework of a bilateral cooperation between CNRS (France) and CONACYT (Mexico).

  17. [Molecular epidemiology in the epidemiological transition].

    PubMed

    Tapia-Conyer, R

    1997-01-01

    The epidemiological transition describes the changes in the health profile of populations where infectious diseases are substituted by chronic or non-communicable diseases. Even in industrialized countries, infectious diseases emerge as important public health problems and with a very important association with several type of neoplasm. Molecular epidemiology brings in new tools for the study of the epidemiological transition by discovering infectious agents as etiology of diseases, neither of both new. Much has been advanced in the understanding of the virulence and resistance mechanism of different strains, or improving the knowledge on transmission dynamics and dissemination pathways of infectious diseases. As to the non-communicable diseases, molecular epidemiology has enhanced the identification of endogenous risk factors link to alterations, molecular changes in genetic material, that will allow a more detail definition of risk and the identification of individual and groups at risk of several diseases. The potential impact of molecular epidemiology in other areas as environmental, lifestyles and nutritional areas are illustrated with several examples. PMID:9504120

  18. Rothia prosthetic knee joint infection.

    PubMed

    Trivedi, Manish N; Malhotra, Prashant

    2015-08-01

    Rothia species - Gram-positive pleomorphic bacteria that are part of the normal oral and respiratory flora - are commonly associated with dental cavities and periodontal disease although systemic infections have been described. We describe a 53-year-old female with rheumatoid arthritis complicated by prosthetic knee joint infection due to Rothia species, which was successfully treated by surgical removal of prosthesis and prolonged antimicrobial therapy. The issue of antibiotic prophylaxis before dental procedures among patients with prosthetic joint replacements is discussed.

  19. Stiffness after total knee arthroplasty.

    PubMed

    Manrique, Jorge; Gomez, Miguel M; Parvizi, Javad

    2015-04-01

    Stiffness after total knee arthroplasty (TKA) adversely affects outcome and impacts patient function. Various risk factors for stiffness after TKA have been identified, including reduced preoperative knee range of motion, history of prior knee surgery, etiology of arthritis, incorrect positioning or oversizing of components, and incorrect gap balancing. Mechanical and associated causes, such as infection, arthrofibrosis, complex regional pain syndrome, and heterotopic ossification, secondary gain issues have also been identified. Management of stiffness following TKA can be challenging. The condition needs to be assessed and treated in a staged manner. A nonsurgical approach is the first step. Manipulation under anesthesia may be considered within the first 3 months after the index TKA, if physical therapy fails to improve the range of motion. Beyond this point, consideration should be given to surgical intervention such as lysis of adhesions, either arthroscopically or by open arthrotomy. If the cause of stiffness is deemed to be surgical error, such as component malpositioning, revision arthroplasty is indicated. The purpose of this article is to evaluate the various aspects of management of stiffness after TKA.

  20. Resistance Exercise for Knee Osteoarthritis

    PubMed Central

    Vincent, Kevin R.; Vincent, Heather K.

    2013-01-01

    The initiation, progression, and severity of knee osteoarthritis (OA) has been associated with decreased muscular strength and alterations in joint biomechanics. Chronic OA pain may lead to anxiety, depression, fear of movement, and poor psychological outlook. The fear of movement may prevent participation in exercise and social events which could lead to further physical and social isolation. Resistance exercise (RX) has been shown to be an effective intervention both for decreasing pain and for improving physical function and self-efficacy. RX may restore muscle strength and joint mechanics while improving physical function. RX may also normalize muscle firing patterns and joint biomechanics leading to reductions in joint pain and cartilage degradation. These physical adaptations could lead to improved self-efficacy and decreased anxiety and depression. RX can be prescribed and performed by patients across the OA severity spectrum. When designing and implementing an RX program for a patient with knee OA, it is important to consider both the degree of OA severity as well as the level of pain. RX, either in the home or at a fitness facility, is an important component of a comprehensive regimen designed to offset the physical and psychological limitations associated with knee OA. Unique considerations for this population include: 1) monitoring pain during and after exercise, 2) providing days of rest when disease flares occur, and 3) infusing variety into the exercise regimen to encourage adherence. PMID:22632702

  1. [Osteochondritis dissecans of the knee].

    PubMed

    Benedict, Shaike; Oron, Amir; Beer, Yiftah; Agar, Gavriel

    2008-07-01

    Osteochondritis dissecans of the knee is diagnosed at an increasing rate among adolescents and young adults. One of the reasons is due to the increasing number of sports participants among these populations. Although many theories exist, the cause of osteochondritis dissecans is unknown. Early diagnosis is very important. While adult type osteochondritis dissecans is unstable, in most young patients it is stable, and patients with an intact articular surface have a good chance to heal with non-operative treatment and cessation of physical activity. The value of complementary treatment (bed rest, partial weight bearing, bracing aimed at reducing weight bearing of the involved knee) is unknown. Patients with open physes and stable lesions, who failed non-operative treatment, may be treated with local bone drilling, encouraging lesion healing. As the disease progresses, more aggressive measures should to be taken, whilst decreasing success ratios are expected. The healing potential of the lesion may be evaluated by magnetic resonance imaging. Most adult type osteochondritis dissecans patients, as most young patients, with unstable lesions and loose bodies within their knees, are treated with fixation of the lesions and even bone grafting. Many unstable lesions will heal after fixation, but the long-term prognosis is elusive. Chronic loose bodies are very difficult to fix, with less favorable outcomes. Excision of large lesions originating from weight bearing cartilage is not favorable and different rehabilitation measures of local cartilage damage are not encouraging. PMID:18814522

  2. Nonsurgical Management of Knee Pain in Adults.

    PubMed

    Jones, Brandon Q; Covey, Carlton J; Sineath, Marvin H

    2015-11-15

    The role of the family physician in managing knee pain is expanding as recent literature supports nonsurgical management for many patients. Effective treatment depends on the etiology of knee pain. Oral analgesics-most commonly nonsteroidal anti-inflammatory drugs and acetaminophen-are used initially in combination with physical therapy to manage the most typical causes of chronic knee pain. The American Academy of Orthopaedic Surgeons recommends against glucosamine/chondroitin supplementation for osteoarthritis. In patients who are not candidates for surgery, opioid analgesics should be used only if conservative pharmacotherapy is ineffective. Exercise-based therapy is the foundation for treating knee osteoarthritis and patellofemoral pain syndrome. Weight loss should be encouraged for all patients with osteoarthritis and a body mass index greater than 25 kg per m2. Aside from stabilizing traumatic knee ligament and tendon tears, the effectiveness of knee braces for chronic knee pain is uncertain, and the use of braces should not replace physical therapy. Foot orthoses can be helpful for anterior knee pain. Corticosteroid injections are effective for short-term pain relief in patients with osteoarthritis. The benefit of hyaluronic acid injections is controversial, and recommendations vary; recent systematic reviews do not support a clinically significant benefit. Small studies suggest that regenerative injections can improve pain and function in patients with chronic knee tendinopathies and osteoarthritis. PMID:26554281

  3. Knee bone tumors: findings on conventional radiology.

    PubMed

    Andrade Neto, Francisco; Teixeira, Manuel Joaquim Diógenes; Araújo, Leonardo Heráclio do Carmo; Ponte, Carlos Eduardo Barbosa

    2016-01-01

    The knee is a common site for bone tumors, whether clinically painful or not. Conventional radiology has been established as the first line of investigation in patients with knee pain and can reveal lesions that often generate questions not only for the generalist physician but also for the radiologist or general orthopedist. History, image examination, and histopathological analysis compose the essential tripod of the diagnosis of bone tumors, and conventional radiology is an essential diagnostic tool in patients with knee pain. This pictorial essay proposes to depict the main conventional radiography findings of the most common bone tumors around the knee, including benign and malignant tumors, as well as pseudo-tumors.

  4. [Knee endoprosthesis: sports orthopedics possibilities and limitations].

    PubMed

    Kuster, M S; Grob, K; Gächter, A

    2000-08-01

    Many patients would like to resume some sport activities after total knee replacement; however, most recommendations are based on subjective opinion rather than scientific evidence. The following paper presents a literature review of sports after total knee replacement and includes recommendations which are based on biomechanical laws. Most total knee designs show increased conformity near full extension. Beyond a certain knee flexion angle, the conformity ratio decreases due to a reduced femoral radius. Therefore, these designs accept higher loads near full extension than in flexion. In order to recommend suitable physical activities after total knee replacement, both the load and the knee flexion angle of the peak load must be considered. It has been shown that power walking and cycling produce the lowest polyethylene inlay stress of a total knee replacement and seem to be the least demanding endurance activities. Jogging and downhill walking show high inlay stress levels and should be avoided. Hence, for mountain hiking, patients are advised to avoid descents or at least use skipoles and walk slowly downhill to reduce the load on the knee joint. It must also be mentioned that any activity represents additional wear, which may affect the long-term results of total knee replacements. Further clinical studies are necessary to validate the biomechanical investigations. PMID:11013918

  5. Cryotherapy impairs knee joint position sense.

    PubMed

    Oliveira, R; Ribeiro, F; Oliveira, J

    2010-03-01

    The effects of cryotherapy on joint position sense are not clearly established; however it is paramount to understand its impact on peripheral feedback to ascertain the safety of using ice therapy before resuming exercise on sports or rehabilitation settings. Thus, the aim of the present study was to determine the effects of cryotherapy, when applied over the quadriceps and over the knee joint, on knee position sense. This within-subjects repeated-measures study encompassed fifteen subjects. Knee position sense was measured by open kinetic chain technique and active positioning at baseline and after cryotherapy application. Knee angles were determined by computer analysis of the videotape images. Twenty-minute ice bag application was applied randomly, in two sessions 48 h apart, over the quadriceps and the knee joint. The main effect for cryotherapy application was significant (F (1.14)=7.7, p=0.015) indicating an increase in both absolute and relative angular errors after the application. There was no significant main effect for the location of cryotherapy application, indicating no differences between the application over the quadriceps and the knee joint. In conclusion, cryotherapy impairs knee joint position sense in normal knees. This deleterious effect is similar when cryotherapy is applied over the quadriceps or the knee joint.

  6. Cryotherapy impairs knee joint position sense.

    PubMed

    Oliveira, R; Ribeiro, F; Oliveira, J

    2010-03-01

    The effects of cryotherapy on joint position sense are not clearly established; however it is paramount to understand its impact on peripheral feedback to ascertain the safety of using ice therapy before resuming exercise on sports or rehabilitation settings. Thus, the aim of the present study was to determine the effects of cryotherapy, when applied over the quadriceps and over the knee joint, on knee position sense. This within-subjects repeated-measures study encompassed fifteen subjects. Knee position sense was measured by open kinetic chain technique and active positioning at baseline and after cryotherapy application. Knee angles were determined by computer analysis of the videotape images. Twenty-minute ice bag application was applied randomly, in two sessions 48 h apart, over the quadriceps and the knee joint. The main effect for cryotherapy application was significant (F (1.14)=7.7, p=0.015) indicating an increase in both absolute and relative angular errors after the application. There was no significant main effect for the location of cryotherapy application, indicating no differences between the application over the quadriceps and the knee joint. In conclusion, cryotherapy impairs knee joint position sense in normal knees. This deleterious effect is similar when cryotherapy is applied over the quadriceps or the knee joint. PMID:20221997

  7. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline...

  8. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline...

  9. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline...

  10. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline...

  11. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline...

  12. 14 CFR 27.521 - Float landing conditions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....473(b) or assumed to be equal to that determined for wheel landing gear): (a) Up-load conditions in... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Float landing conditions. 27.521 Section 27... AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Strength Requirements Water Loads § 27.521 Float...

  13. 14 CFR 27.521 - Float landing conditions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....473(b) or assumed to be equal to that determined for wheel landing gear): (a) Up-load conditions in... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Float landing conditions. 27.521 Section 27... AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Strength Requirements Water Loads § 27.521 Float...

  14. 14 CFR 29.521 - Float landing conditions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... factor is determined under § 29.473(b) or assumed to be equal to that determined for wheel landing gear... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Float landing conditions. 29.521 Section 29... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Strength Requirements Water Loads § 29.521 Float...

  15. 14 CFR 29.521 - Float landing conditions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Float landing conditions. 29.521 Section 29.521 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Strength Requirements Water Loads § 29.521 Float landing conditions. If certification for...

  16. 14 CFR 27.521 - Float landing conditions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....473(b) or assumed to be equal to that determined for wheel landing gear): (a) Up-load conditions in... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Float landing conditions. 27.521 Section 27... AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Strength Requirements Water Loads § 27.521 Float...

  17. 14 CFR 29.521 - Float landing conditions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... factor is determined under § 29.473(b) or assumed to be equal to that determined for wheel landing gear... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Float landing conditions. 29.521 Section 29... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Strength Requirements Water Loads § 29.521 Float...

  18. 14 CFR 27.521 - Float landing conditions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Float landing conditions. 27.521 Section 27.521 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Strength Requirements Water Loads § 27.521 Float landing conditions. If certification for...

  19. 14 CFR 29.521 - Float landing conditions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... factor is determined under § 29.473(b) or assumed to be equal to that determined for wheel landing gear... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Float landing conditions. 29.521 Section 29... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Strength Requirements Water Loads § 29.521 Float...

  20. 14 CFR 25.535 - Auxiliary float loads.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Auxiliary float loads. 25.535 Section 25.535 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... follows: EC28SE91.043 where— ρ=mass density of water (slugs/ft.2); V=volume of float (ft.2); C...

  1. 14 CFR 25.535 - Auxiliary float loads.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... The resultant water load must be applied in the plane of symmetry of the float at a point three... r y=ratio of the lateral distance between the center of gravity and the plane of symmetry of the... the plane of symmetry of the float at a point one-fourth of the distance from the bow to the step...

  2. 14 CFR 25.535 - Auxiliary float loads.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... The resultant water load must be applied in the plane of symmetry of the float at a point three... r y=ratio of the lateral distance between the center of gravity and the plane of symmetry of the... the plane of symmetry of the float at a point one-fourth of the distance from the bow to the step...

  3. 14 CFR 25.535 - Auxiliary float loads.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... The resultant water load must be applied in the plane of symmetry of the float at a point three... r y=ratio of the lateral distance between the center of gravity and the plane of symmetry of the... the plane of symmetry of the float at a point one-fourth of the distance from the bow to the step...

  4. 14 CFR 25.751 - Main float buoyancy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Main float buoyancy. 25.751 Section 25.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. Each main float must have— (a) A buoyancy of 80 percent in excess of that required to support...

  5. 14 CFR 29.751 - Main float buoyancy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float buoyancy. 29.751 Section 29.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft...

  6. 14 CFR 29.751 - Main float buoyancy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Main float buoyancy. 29.751 Section 29.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft...

  7. 14 CFR 25.751 - Main float buoyancy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Main float buoyancy. 25.751 Section 25.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. Each main float must have— (a) A buoyancy of 80 percent in excess of that required to support...

  8. 14 CFR 29.751 - Main float buoyancy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Main float buoyancy. 29.751 Section 29.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft...

  9. 14 CFR 25.751 - Main float buoyancy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Main float buoyancy. 25.751 Section 25.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. Each main float must have— (a) A buoyancy of 80 percent in excess of that required to support...

  10. Apollo 9 spacecraft floats in Atlantic recovery area after splashdown

    NASA Technical Reports Server (NTRS)

    1969-01-01

    Apollo 9 spacecraft floats in the Atlantic recovery area after splashdown to conclude a successful ten-day, earth-orbital space mission. Splashdown occurred at 12:00:53 p.m., March 13, 1969. Notice the spent parachutes floating on the water's surface near the capsule.

  11. 40 CFR 63.1043 - Standards-Separator floating roof.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 10 2010-07-01 2010-07-01 false Standards-Separator floating roof. 63.1043 Section 63.1043 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... secondary seal shall be mounted above the primary seal and cover the annular space between the floating...

  12. 40 CFR 63.1043 - Standards-Separator floating roof.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 11 2013-07-01 2013-07-01 false Standards-Separator floating roof. 63.1043 Section 63.1043 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... secondary seal shall be mounted above the primary seal and cover the annular space between the floating...

  13. 22. Float located adjacent to entry stair in filtration bed. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    22. Float located adjacent to entry stair in filtration bed. The float actuates a valve that maintains water level over the bed. - Lake Whitney Water Filtration Plant, Filtration Plant, South side of Armory Street between Edgehill Road & Whitney Avenue, Hamden, New Haven County, CT

  14. 14 CFR 25.751 - Main float buoyancy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Main float buoyancy. 25.751 Section 25.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. Each main float must have— (a) A buoyancy of 80 percent in excess of that required to support...

  15. 14 CFR 25.751 - Main float buoyancy.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Main float buoyancy. 25.751 Section 25.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. Each main float must have— (a) A buoyancy of 80 percent in excess of that required to support...

  16. 14 CFR 29.751 - Main float buoyancy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Main float buoyancy. 29.751 Section 29.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft...

  17. 14 CFR 29.751 - Main float buoyancy.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Main float buoyancy. 29.751 Section 29.751 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... buoyancy. (a) For main floats, the buoyancy necessary to support the maximum weight of the rotorcraft...

  18. Effect of a floating electrode on a plasma jet

    SciTech Connect

    Hu, J. T.; Wang, J. G.; Liu, X. Y.; Liu, D. W.; Lu, X. P.; Shi, J. J.; Ostrikov, K.

    2013-08-15

    Two kinds of floating electrode, floating dielectric barrier covered electrode (FDBCE) and floating pin electrode (FPE), which can enhance the performance of plasma jet are reported. The intense discharge between the floating electrode and power electrode decreased the voltage to trigger the plasma jet substantially. The transition of plasma bullet from ring shape to disk shape in the high helium concentration region happened when the floating electrode was totally inside the powered ring electrode. The enhanced electric field between propagating plasma bullet and ground electrode is the reason for this transition. The double plasma bullets happened when part of the FDBCE was outside the powered ring electrode, which is attributed to the structure and surface charge of FDBCE. As part of the FPE was outside the powered ring electrode, the return stroke resulted in a single intensified plasma channel between FPE and ground electrode.

  19. Electrowetting in a water droplet with a movable floating substrate

    NASA Astrophysics Data System (ADS)

    Shahzad, Amir; Masud, A. R.; Song, Jang-Kun

    2016-05-01

    Electrowetting (EW) enables facile manipulation of a liquid droplet on a hydrophobic surface. In this study, manipulation of an electrolyte droplet having a small floating object on it was investigated on a solid hydrophobic substrate under the EW process. Herein, the floating object exhibited a vertical motion under an applied electric field owing to the spreading and contraction of the droplet on its connecting substrates. The field-induced height variation of the floating object was significantly influenced by the thicknesses of the dielectric and hydrophobic materials. A small mass was also placed on the top floating object and its effect on the spreading of the droplet was observed. In this system, the height of the top floating object is precisely controllable under the application of an electric voltage. The proposed system is expected to be highly useful in the design of nano- and micro-oscillatory systems for microengineering.

  20. Electrowetting in a water droplet with a movable floating substrate.

    PubMed

    Shahzad, Amir; Masud, A R; Song, Jang-Kun

    2016-05-01

    Electrowetting (EW) enables facile manipulation of a liquid droplet on a hydrophobic surface. In this study, manipulation of an electrolyte droplet having a small floating object on it was investigated on a solid hydrophobic substrate under the EW process. Herein, the floating object exhibited a vertical motion under an applied electric field owing to the spreading and contraction of the droplet on its connecting substrates. The field-induced height variation of the floating object was significantly influenced by the thicknesses of the dielectric and hydrophobic materials. A small mass was also placed on the top floating object and its effect on the spreading of the droplet was observed. In this system, the height of the top floating object is precisely controllable under the application of an electric voltage. The proposed system is expected to be highly useful in the design of nano- and micro-oscillatory systems for microengineering. PMID:27300973

  1. Immediate Effects of an Elastic Knee Sleeve on Frontal Plane Gait Biomechanics in Knee Osteoarthritis

    PubMed Central

    Schween, Raphael; Gehring, Dominic; Gollhofer, Albert

    2015-01-01

    Introduction Osteoarthritis of the knee affects millions of people. Elastic knee sleeves aim at relieving symptoms. While symptomatic improvements have been demonstrated as a consequence of elastic knee sleeves, evidence for biomechanical alterations only exists for the sagittal plane. We therefore asked what effect an elastic knee sleeve would have on frontal plane gait biomechanics. Methods 18 subjects (8 women, 10 men) with osteoarthritis of the medial tibiofemoral joint walked over ground with and without an elastic knee sleeve. Kinematics and forces were recorded and joint moments were calculated using an inverse dynamics approach. Conditions with sleeve and without sleeve were compared with paired t-Tests. Results With the sleeve, knee adduction angle at ground contact was reduced by 1.9±2.1° (P = 0.006). Peak knee adduction was reduced by 1.5±1.6° (P = 0.004). The first peak knee adduction moment and positive knee adduction impulse were decreased by 10.1% (0.74±0.9 Nm•kg-1; P = 0.002) and 12.9% (0.28±0.3 Nm•s•kg-1; P < 0.004), respectively. Conclusion Our study provides evidence that wearing an elastic knee sleeve during walking can reduce knee adduction angles, moments and impulse in subjects with knee osteoarthritis. As a higher knee adduction moment has previously been identified as a risk factor for disease progression in patients with medial knee osteoarthritis, we speculate that wearing a knee sleeve may be beneficial for this specific subgroup. PMID:25621488

  2. Osteoarthritis and meniscus disorders of the knee as occupational diseases of miners

    PubMed Central

    McMillan, G; Nichols, L

    2005-01-01

    Aim: To determine whether kneeling or squatting for prolonged periods is sufficiently causally associated with an increased risk of injury or degenerative disease of the knee joint as to meet the classic criteria to be considered an occupational disease of coal miners for whom these are or have been routine working postures. Method: Systematic literature searches were made for studies relating to kneeling and squatting as part of the working environment of coal mines and the role of these postures in causation of knee disorders in coal miners, analogous occupations, populations, and communities. The working environment and potentially damaging forces on the knee when kneeling or squatting were described. Papers on the incidence or prevalence of knee disorders in occupational and other groups were scored against five criteria independently by each author, and from this a single consensus score representing the overall strength of evidence given by the research was awarded. The evidence was then weighed against the criteria for an occupational disease. Results: Nineteen published papers were scored, the majority of which focussed on osteoarthritis as the outcome of interest. Few of the studies found focussed specifically on miners, and those that did tended to involve small numbers of subjects and were carried out before 1960, when the mining population was at its largest but epidemiological evidence of the risk factors for knee disorders was not well established. The non-mining studies in the review represent groups of workers with a similar or lesser kneeling content in their work. Conclusion: The papers reviewed provide sufficient evidence to conclude that work involving kneeling and/or squatting is causally associated with an increased risk of osteoarthritis of the knee. In some of the more recent epidemiologically sound studies, frequent or prolonged kneeling or squatting doubles the general risk of osteoarthritis of the knees found in the general population

  3. Function after through-knee compared with below-knee and above-knee amputation.

    PubMed

    Hagberg, E; Berlin, O K; Renström, P

    1992-12-01

    Fifty-nine amputees, 24 below-knee (BK), 17 through-knee (TK) and 18 above-knee (AK) who had prosthetic replacements, were evaluated using a questionnaire which provided a quantitative and qualitative assessment scale for the prosthetic function. The ability to apply or don the prosthesis was noted in 100% of the BK, 70% of the TK and 56% of the AK amputations (p < 0.001). Daily use of the prosthesis was recorded in 96% of the BK, 76% of the TK and 50% of the AK amputations (p < 0.001). A higher level of amputation resulted in a significantly lower degree of rehabilitation (p < 0.05). The qualitative evaluation shows that the higher the level of amputation, the lower the usefulness of the prosthesis. Four percent of the BK, 12% of the TK and 39% of the AK amputees had no use whatsoever of their prosthesis (p < 0.01). From a functional standpoint, TK amputation should always be considered as the primary alternative to AK amputation when a BK amputation is not feasible.

  4. Discrete Element Modelling of Floating Debris

    NASA Astrophysics Data System (ADS)

    Mahaffey, Samantha; Liang, Qiuhua; Parkin, Geoff; Large, Andy; Rouainia, Mohamed

    2016-04-01

    Flash flooding is characterised by high velocity flows which impact vulnerable catchments with little warning time and as such, result in complex flow dynamics which are difficult to replicate through modelling. The impacts of flash flooding can be made yet more severe by the transport of both natural and anthropogenic debris, ranging from tree trunks to vehicles, wheelie bins and even storage containers, the effects of which have been clearly evident during recent UK flooding. This cargo of debris can have wide reaching effects and result in actual flood impacts which diverge from those predicted. A build-up of debris may lead to partial channel blockage and potential flow rerouting through urban centres. Build-up at bridges and river structures also leads to increased hydraulic loading which may result in damage and possible structural failure. Predicting the impacts of debris transport; however, is difficult as conventional hydrodynamic modelling schemes do not intrinsically include floating debris within their calculations. Subsequently a new tool has been developed using an emerging approach, which incorporates debris transport through the coupling of two existing modelling techniques. A 1D hydrodynamic modelling scheme has here been coupled with a 2D discrete element scheme to form a new modelling tool which predicts the motion and flow-interaction of floating debris. Hydraulic forces arising from flow around the object are applied to instigate its motion. Likewise, an equivalent opposing force is applied to fluid cells, enabling backwater effects to be simulated. Shock capturing capabilities make the tool applicable to predicting the complex flow dynamics associated with flash flooding. The modelling scheme has been applied to experimental case studies where cylindrical wooden dowels are transported by a dam-break wave. These case studies enable validation of the tool's shock capturing capabilities and the coupling technique applied between the two numerical

  5. Unicondylar knee arthroplasty: a cementless perspective

    PubMed Central

    Forsythe, Michael E.; Englund, Roy E.; Leighton, Ross K.

    2000-01-01

    Objective To compare the results of cementless unicondylar knee arthroplasty (UKA) with those already reported in a similar study on cemented UKA. Design A case-series cross-sectional study. Setting The Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax. Patients Fifty-one patients who underwent a total of 57 UKAs between May 1989 and May 1997. Inclusion criteria were osteoarthritis involving the predominantly the medial compartment of the knee, relative sparing of the other compartments, less than 15° of varus, minimal knee instability, and attendance at the postoperative clinical visit. Intervention Cementless UKA. Main outcome measures Clinical parameters that included pain, range of motion and the Knee Society Clinical Knee Score. Roentgenographic parameters that included α, β, γ and σ angles and the presence of periprosthetic radiolucency or loose beads. Results Age, weight, gender and follow-up interval did not significantly affect the clinical results in terms of pain, range of motion or knee score. Knees with more than 1 mm of radiolucency had significantly lower knee scores than those with no radiolucency. Knees that radiologically had loose beads also had significantly lower knee scores. The clinical outcomes of cementless UKA were comparable to those already reported on cemented UKA. Cementless femurs had less radiolucency than the cemented femurs, whereas cementless tibias had more radiolucency than their cemented counterparts. Conclusions Cementless UKA seems to be as efficacious as cemented UKA. However, there is some concern about the amount of radiolucency in the cementless tibial components. A randomized clinical trial comparing both cementless and cemented tibial components with a cementless femur (hybrid knee) is needed to further assess this controversial issue in UKA. PMID:11129829

  6. Vaccine epidemiology: A review

    PubMed Central

    Lahariya, Chandrakant

    2016-01-01

    This review article outlines the key concepts in vaccine epidemiology, such as basic reproductive numbers, force of infection, vaccine efficacy and effectiveness, vaccine failure, herd immunity, herd effect, epidemiological shift, disease modeling, and describes the application of this knowledge both at program levels and in the practice by family physicians, epidemiologists, and pediatricians. A case has been made for increased knowledge and understanding of vaccine epidemiology among key stakeholders including policy makers, immunization program managers, public health experts, pediatricians, family physicians, and other experts/individuals involved in immunization service delivery. It has been argued that knowledge of vaccine epidemiology which is likely to benefit the society through contributions to the informed decision-making and improving vaccination coverage in the low and middle income countries (LMICs). The article ends with suggestions for the provision of systematic training and learning platforms in vaccine epidemiology to save millions of preventable deaths and improve health outcomes through life-course. PMID:27453836

  7. The future of epidemiology.

    PubMed

    Ness, Roberta B; Andrews, Elizabeth B; Gaudino, James A; Newman, Anne B; Soskolne, Colin L; Stürmer, Til; Wartenberg, Daniel E; Weiss, Stanley H

    2009-11-01

    In this article, the authors discuss current challenges and opportunities in epidemiology that will affect the field's future. Epidemiology is commonly considered the methodologic backbone for the fields of public health and outcomes research because its practitioners describe patterns of disease occurrence, identify risk factors and etiologic determinants, and demonstrate the usefulness of interventions. Like most aspects of science, epidemiology is in rapid flux. Several factors that are influencing and will continue to influence epidemiology and the health of the public include factors fundamental to framing the discipline of epidemiology (i.e., its means of communication, its methodologies, its access to data, its values, its population perspective), factors relating to scientific advances (e.g., genomics, comparative effectiveness in therapeutics), and factors shaping human health (e.g., increasing globalism, the environment, disease and lifestyle, demographics, infectious disease). PMID:19858828

  8. Vaccine epidemiology: A review.

    PubMed

    Lahariya, Chandrakant

    2016-01-01

    This review article outlines the key concepts in vaccine epidemiology, such as basic reproductive numbers, force of infection, vaccine efficacy and effectiveness, vaccine failure, herd immunity, herd effect, epidemiological shift, disease modeling, and describes the application of this knowledge both at program levels and in the practice by family physicians, epidemiologists, and pediatricians. A case has been made for increased knowledge and understanding of vaccine epidemiology among key stakeholders including policy makers, immunization program managers, public health experts, pediatricians, family physicians, and other experts/individuals involved in immunization service delivery. It has been argued that knowledge of vaccine epidemiology which is likely to benefit the society through contributions to the informed decision-making and improving vaccination coverage in the low and middle income countries (LMICs). The article ends with suggestions for the provision of systematic training and learning platforms in vaccine epidemiology to save millions of preventable deaths and improve health outcomes through life-course. PMID:27453836

  9. The knee-spine syndrome. Association between lumbar lordosis and extension of the knee.

    PubMed

    Murata, Yasuaki; Takahashi, Kazuhisa; Yamagata, Masatsune; Hanaoka, Eiji; Moriya, Hideshige

    2003-01-01

    Degenerative changes of the knee often cause loss of extension. This may affect aspects of posture such as lumbar lordosis. A total of 366 patients underwent radiological examination of the lumbar spine in a standing position. The knee and body angles were measured by physical examination using a goniometer. Limitation of extension of the knee was significantly greater in patients whose lumbar lordosis was 30 degrees or less. Lumbar lordosis was significantly reduced in patients whose limitation of extension of the knee was more than 5 degrees. It decreased over the age of 70 years, and the limitation of extension of the knee increased over the age of 60 years. Our study indicates that symptoms from the lumbar spine may be caused by degenerative changes in the knee. This may be called the 'knee-spine syndrome'. PMID:12585585

  10. Traditional epidemiology, modern epidemiology, and public health.

    PubMed Central

    Pearce, N

    1996-01-01

    There have been significant developments in epidemiologic methodology during the past century, including changes in basic concepts, methods of data analysis, and methods of exposure measurement. However, the rise of modern epidemiology has been a mixed blessing, and the new paradigm has major shortcomings, both in public health and in scientific terms. The changes in the paradigm have not been neutral but have rather helped change--and have reflected changes in--the way in which epidemiologists think about health and disease. The key issue has been the shift in the level of analysis from the population to the individual. Epidemiology has largely ceased to function as part of a multidisciplinary approach to understanding the causation of disease in populations and has become a set of generic methods for measuring associations of exposure and disease in individuals. This reductionist approach focuses on the individual, blames the victim, and produces interventions that can be harmful. We seem to be using more and more advanced technology to study more and more trivial issues, while the major causes of disease are ignored. Epidemiology must reintegrate itself into public health and must rediscover the population perspective. PMID:8629719

  11. Nuclear Security for Floating Nuclear Power Plants

    SciTech Connect

    Skiba, James M.; Scherer, Carolynn P.

    2015-10-13

    Recently there has been a lot of interest in small modular reactors. A specific type of these small modular reactors (SMR,) are marine based power plants called floating nuclear power plants (FNPP). These FNPPs are typically built by countries with extensive knowledge of nuclear energy, such as Russia, France, China and the US. These FNPPs are built in one country and then sent to countries in need of power and/or seawater desalination. Fifteen countries have expressed interest in acquiring such power stations. Some designs for such power stations are briefly summarized. Several different avenues for cooperation in FNPP technology are proposed, including IAEA nuclear security (i.e. safeguards), multilateral or bilateral agreements, and working with Russian design that incorporates nuclear safeguards for IAEA inspections in non-nuclear weapons states

  12. Fresh look at floating shock fitting

    NASA Technical Reports Server (NTRS)

    Hartwich, PETER-M.

    1990-01-01

    A fast implicit upwind procedure for the two-dimensional Euler equations is described that allows accurate computations of shocked flows on nonadapted meshes. Away from shocks, the second-order accurate upwinding is based on the split-coefficient-matrix (SCM) method. In the presence of shocks, the difference stencils are modified using a floating shock fitting technique. Rapid convergence to steady-state solutions is attained with a diagonalized approximate factorization (AF) algorithm. Results are presented for Riemann's problem, for a regular shock reflection at an inviscid wall, for supersonic flow past a cylinder, and for a transonic airfoil. All computed shocks are ideally sharp and in excellent agreement with other numerical results or 'exact' solutions. Most importantly, this has been accomplished on unusually crude meshes without any attempt to align grid lines with shock fronts or to cluster grid lines around shocks.

  13. Floating Vitreous Cyst: Two Clinical Cases

    PubMed Central

    Lavric, Alenka; Urbancic, Mojca

    2013-01-01

    Purpose To report two cases of solitary unilateral vitreous cyst. Methods A complete ocular examination, fundus photography, B-scan ultrasound and spectral-domain optical coherence tomography were performed in both patients. Results The first patient (a 39-year-old man) presented with transient blurred vision in the right eye. The second patient (a 78-year-old man) reported transient blurred vision in the right eye when changing head position. He was referred to the Eye Hospital because of vitreomacular traction in the other eye. After examination, a diagnosis of vitreous cyst was made in both cases. Conclusions Vitreous cysts are rare clinical findings. They can occur in normal eyes or in eyes with certain ocular pathologies. When a cyst floats into the visual axis area, it can disturb visual function; therefore, patients usually report transient blurring of vision. A prompt clinical examination is necessary for differentiating this rare condition. PMID:24348410

  14. Inexpensive, floating, insect-emergence trap

    SciTech Connect

    Cushman, R.M.

    1983-11-01

    The Environmental Sciences Division of Oak Ridge National Laboratory has been investigating the usefulness of aquarium microcosms and ponds for the quantification and predictions of toxicant effects on freshwater systems. Ideally, concepts and methods applicable to both 150-L microcosms and 15,000-L ponds would bridge the gap between the two. The effort of processing the benthic samples, as well as the destructiveness of the sampling in small ponds, limited the number of samples that could be taken. Therefore, the author developed an inexpensive emergence trap appropriate for use in small outdoor ponds, as one method of increasing sampling efficiency and economy. To prevent the possibility of trapping adults from adjacent ponds, which would confound the results, the traps had to be designed such that they could only trap insects from the ponds upon which they were floating. The design of this trap is described.

  15. Tank Tests of Models of Floats for Single-float Seaplanes First Series.

    NASA Technical Reports Server (NTRS)

    Parkinson, J B

    1936-01-01

    Large models of the Mark V and Mark VI floats used for single float seaplanes (National Advisory Committee for Aeronautics (NACA) models 41-A and 41-B, respectively) were tested in the NACA tank to provide general test data for typical single floats and a basis for possible improvements of their form. The resistance of model 41-B was greater than that of model 41-A, either when free to trim or at the best trim angle for each. The resistance of model 35-B (a pointed step hull tested free to trim) was less than either of the models at the hump speed, greater at intermediate planing speeds, and less at the speeds and loads near get-away, although the spray was generally worse owing to the absence of transverse flare. The results of the fixed-trim tests of model 41-A were cross plotted to obtain data at the angle for zero trimming moment and at the best trim angle. The trims assumed by models 41-A and 41-B, when tested free to trim, were found to be excessive at the hump speed. The corresponding trim of model 35-B was found to be approximately 3 degrees lower because of the lower angle of afterbody keel used in this model, and the maximum hump resistance was 15 percent lower.

  16. Will 'Unloading' Shoes Help Your Arthritic Knees?

    MedlinePlus

    ... anti-inflammatory medications may also help, as might physical therapy designed to improve flexibility and motion range. In severe cases, patients undergo invasive knee surgery ranging from joint-lining removal to partial or total knee replacement. Clinicians also often recommend using a ...

  17. Conservative biomechanical strategies for knee osteoarthritis.

    PubMed

    Reeves, Neil D; Bowling, Frank L

    2011-02-01

    Knee osteoarthritis (OA) is one of the most prevalent forms of this disease, with the medial compartment most commonly affected. The direction of external forces and limb orientation during walking results in an adduction moment that acts around the knee, and this parameter is regarded as a surrogate measure of medial knee compression. The knee adduction moment is intimately linked with the development and progression of knee OA and is, therefore, a target for conservative biomechanical intervention strategies, which are the focus of this Review. We examine the evidence for walking barefoot and the use of lateral wedge insoles and thin-soled, flexible shoes to reduce the knee adduction moment in patients with OA. We review strategies that directly affect the gait, such as walking with the foot externally rotated ('toe-out gait'), using a cane, lateral trunk sway and gait retraining. Valgus knee braces and muscle strengthening are also discussed for their effect upon reducing the knee adduction moment. PMID:21289615

  18. Basic biomechanic principles of knee instability.

    PubMed

    Zlotnicki, Jason P; Naendrup, Jan-Hendrik; Ferrer, Gerald A; Debski, Richard E

    2016-06-01

    Motion at the knee joint is a complex mechanical phenomenon. Stability is provided by a combination of static and dynamic structures that work in concert to prevent excessive movement or instability that is inherent in various knee injuries. The anterior cruciate ligament (ACL) is a main stabilizer of the knee, providing both translational and rotatory constraint. Despite the high volume of research directed at native ACL function, pathogenesis and surgical reconstruction of this structure, a gold standard for objective quantification of injury and subsequent repair, has not been demonstrated. Furthermore, recent studies have suggested that novel anatomic structures may play a significant role in knee stability. The use of biomechanical principles and testing techniques provides essential objective/quantitative information on the function of bone, ligaments, joint capsule, and other contributing soft tissues in response to various loading conditions. This review discusses the principles of biomechanics in relation to knee stability, with a focus on the objective quantification of knee stability, the individual contributions of specific knee structures to stability, and the most recent technological advances in the biomechanical evaluation of the knee joint. PMID:27007474

  19. A rare variant of knee dislocation

    PubMed Central

    HUSSIN, P.; MAWARDI, M.; AB HALIM, A.H.

    2016-01-01

    Knee dislocation is a rare injury. It represents less than 0.2% of orthopaedic injuries. This case reports a rare form of knee dislocation caused by the impact of a high-energy trauma. In these cases the appropriate assessment and management is needed to ensure that patient receives the proper treatment. PMID:27381692

  20. Obesity. A risk factor for knee dislocation.

    PubMed

    Marin, E L; Bifulco, S S; Fast, A

    1990-06-01

    Complete dislocation of the knee joint is a severe injury that is commonly the result of high-velocity injuries and often associated with disruption of the popliteal artery. We report two cases in which obesity appeared to be the principal cause of knee dislocation with vascular compromise. Preventive measures in extremely obese patients are recommended.

  1. Jumper's Knee (Patellar Tendonitis) (For Parents)

    MedlinePlus

    ... regularly play sports that involve a lot of repetitive jumping — like track and field (particularly high-jumping), basketball, volleyball, gymnastics, running, and soccer — can put a lot of strain on their knees. Jumper's knee can seem like a minor injury that isn't really that serious. Because of ...

  2. Current Surgical Treatment of Knee Osteoarthritis

    PubMed Central

    Rönn, Karolin; Reischl, Nikolaus; Gautier, Emanuel; Jacobi, Matthias

    2011-01-01

    Osteoathritis (OA) of the knee is common, and the chances of suffering from OA increase with age. Its treatment should be initially nonoperative—and requires both pharmacological and nonpharmacological treatment modalities. If conservative therapy fails, surgery should be considered. Surgical treatments for knee OA include arthroscopy, cartilage repair, osteotomy, and knee arthroplasty. Determining which of these procedures is most appropriate depends on several factors, including the location, stage of OA, comorbidities on the one side and patients suffering on the other side. Arthroscopic lavage and débridement is often carried out, but does not alter disease progression. If OA is limited to one compartment, unicompartmental knee arthroplasty or unloading osteotomy can be considered. They are recommended in young and active patients in regard to the risks and limited durability of total knee replacement. Total arthroplasty of the knee is a common and safe method in the elderly patients with advanced knee OA. This paper summarizes current surgical treatment strategies for knee OA, with a focus on the latest developments, indications and level of evidence. PMID:22046517

  3. Overuse injuries of the knee in basketball.

    PubMed

    Molnar, T J; Fox, J M

    1993-04-01

    Overuse injuries of the knee are abundant in basketball players. This article discusses the pathophysiology of overuse and the principles of treatment. The diagnosis and clinical management of jumper's knee, patellofemoral pain, and stress fractures are outlined with specific attention to rehabilitation techniques and training.

  4. WindWaveFloat (WWF): Final Scientific Report

    SciTech Connect

    Alla Weinstein; Roddier, Dominique; Banister, Kevin

    2012-03-30

    Principle Power Inc. and National Renewable Energy Lab (NREL) have completed a contract to assess the technical and economic feasibility of integrating wave energy converters into the WindFloat, resulting in a new concept called the WindWaveFloat (WWF). The concentration of several devices on one platform could offer a potential for both economic and operational advantages. Wind and wave energy converters can share the electrical cable and power transfer equipment to transport the electricity to shore. Access to multiple generation devices could be simplified, resulting in cost saving at the operational level. Overall capital costs may also be reduced, provided that the design of the foundation can be adapted to multiple devices with minimum modifications. Finally, the WindWaveFloat confers the ability to increase energy production from individual floating support structures, potentially leading to a reduction in levelized energy costs, an increase in the overall capacity factor, and greater stability of the electrical power delivered to the grid. The research conducted under this grant investigated the integration of several wave energy device types into the WindFloat platform. Several of the resulting system designs demonstrated technical feasibility, but the size and design constraints of the wave energy converters (technical and economic) make the WindWaveFloat concept economically unfeasible at this time. Not enough additional generation could be produced to make the additional expense associated with wave energy conversion integration into the WindFloat worthwhile.

  5. Occupational activities and osteoarthritis of the knee

    PubMed Central

    Palmer, Keith T

    2012-01-01

    Background The prevalence of knee osteoarthritis (OA) is rising and the search for interventions to mitigate risk is intensifying. This review considers the contribution of occupational activities to disease occurrence and the lessons for prevention. Sources Systematic search in Embase and Medline covering the period 1996 to November 2011. Areas of agreement Reasonably good evidence exists that physical work activities (especially kneeling, squatting, lifting, and climbing) can cause and/or aggravate knee OA. These exposures should be reduced where possible. Obese workers with such exposures are at additional risk of knee OA and should therefore particularly be encouraged to lose weight. Areas of uncertainty/research need Workplace interventions and policies to prevent knee OA have seldom been evaluated. Moreover, their implementation can be problematic. However, the need for research to optimise the design of work in relation to knee OA is pressing, given population trends towards extended working life. PMID:22544778

  6. [Epidemiological research in Brazil].

    PubMed

    Guimarães, R; Lourenço-De-Oliveira, R; Cosac, S

    2001-08-01

    The current epidemiological research in Brazil is described. Secondary data sources were consulted, such as the year 2000 database of the Brazilian Directory of Research Groups and the National Board of Scientific and Technological Development (CNPq). The criterion to identify a group as a research one relies on the existence of at least one research line in the field of epidemiology, as defined by the group leader. After identifying the defined universe of epidemiological research, which included 176 groups and 320 different research lines, the following issues were presented and discussed: the relationships between research financing and health research, focusing on CAPES (Coordination Center for the Advance of University Professionals) graduation programs, public health research and epidemiological research, geographic and institutional distribution and outreach of the current epidemiological research, the researchers and students directly participating in epidemiological research, research topics and patterns of disseminating research findings; the journals where papers in its fullness were published; the financial support of the epidemiological research focusing on the 23 officially recognized graduate programs in public health field. PMID:11600921

  7. Gait Analysis of Conventional Total Knee Arthroplasty and Bicruciate Stabilized Total Knee Arthroplasty Using a Triaxial Accelerometer.

    PubMed

    Tomite, Takenori; Saito, Hidetomo; Aizawa, Toshiaki; Kijima, Hiroaki; Miyakoshi, Naohisa; Shimada, Yoichi

    2016-01-01

    One component of conventional total knee arthroplasty is removal of the anterior cruciate ligament, and the knee after total knee arthroplasty has been said to be a knee with anterior cruciate ligament dysfunction. Bicruciate stabilized total knee arthroplasty is believed to reproduce anterior cruciate ligament function in the implant and provide anterior stability. Conventional total knee arthroplasty was performed on the right knee and bicruciate stabilized total knee arthroplasty was performed on the left knee in the same patient, and a triaxial accelerometer was fitted to both knees after surgery. Gait analysis was then performed and is reported here. The subject was a 78-year-old woman who underwent conventional total knee arthroplasty on her right knee and bicruciate stabilized total knee arthroplasty on her left knee. On the femoral side with bicruciate stabilized total knee arthroplasty, compared to conventional total knee arthroplasty, there was little acceleration in the x-axis direction (anteroposterior direction) in the early swing phase. Bicruciate stabilized total knee arthroplasty may be able to replace anterior cruciate ligament function due to the structure of the implant and proper anteroposterior positioning. PMID:27648328

  8. Gait Analysis of Conventional Total Knee Arthroplasty and Bicruciate Stabilized Total Knee Arthroplasty Using a Triaxial Accelerometer

    PubMed Central

    Saito, Hidetomo; Aizawa, Toshiaki; Miyakoshi, Naohisa; Shimada, Yoichi

    2016-01-01

    One component of conventional total knee arthroplasty is removal of the anterior cruciate ligament, and the knee after total knee arthroplasty has been said to be a knee with anterior cruciate ligament dysfunction. Bicruciate stabilized total knee arthroplasty is believed to reproduce anterior cruciate ligament function in the implant and provide anterior stability. Conventional total knee arthroplasty was performed on the right knee and bicruciate stabilized total knee arthroplasty was performed on the left knee in the same patient, and a triaxial accelerometer was fitted to both knees after surgery. Gait analysis was then performed and is reported here. The subject was a 78-year-old woman who underwent conventional total knee arthroplasty on her right knee and bicruciate stabilized total knee arthroplasty on her left knee. On the femoral side with bicruciate stabilized total knee arthroplasty, compared to conventional total knee arthroplasty, there was little acceleration in the x-axis direction (anteroposterior direction) in the early swing phase. Bicruciate stabilized total knee arthroplasty may be able to replace anterior cruciate ligament function due to the structure of the implant and proper anteroposterior positioning. PMID:27648328

  9. Gait Analysis of Conventional Total Knee Arthroplasty and Bicruciate Stabilized Total Knee Arthroplasty Using a Triaxial Accelerometer

    PubMed Central

    Saito, Hidetomo; Aizawa, Toshiaki; Miyakoshi, Naohisa; Shimada, Yoichi

    2016-01-01

    One component of conventional total knee arthroplasty is removal of the anterior cruciate ligament, and the knee after total knee arthroplasty has been said to be a knee with anterior cruciate ligament dysfunction. Bicruciate stabilized total knee arthroplasty is believed to reproduce anterior cruciate ligament function in the implant and provide anterior stability. Conventional total knee arthroplasty was performed on the right knee and bicruciate stabilized total knee arthroplasty was performed on the left knee in the same patient, and a triaxial accelerometer was fitted to both knees after surgery. Gait analysis was then performed and is reported here. The subject was a 78-year-old woman who underwent conventional total knee arthroplasty on her right knee and bicruciate stabilized total knee arthroplasty on her left knee. On the femoral side with bicruciate stabilized total knee arthroplasty, compared to conventional total knee arthroplasty, there was little acceleration in the x-axis direction (anteroposterior direction) in the early swing phase. Bicruciate stabilized total knee arthroplasty may be able to replace anterior cruciate ligament function due to the structure of the implant and proper anteroposterior positioning.

  10. [Jumper's knee--a review].

    PubMed

    Tibesku, C O; Pässler, H H

    2005-06-01

    Jumper's knee has been defined as painful chronic overuse injury of the extensor mechanism of the knee joint. The disease has a high incidence in jumping sports and depends on training frequency and level of performance. Its natural course is protracted, repetitive, and often bilaterally occurring. Its etiology is a chronic overload of the knee extensor mechanism which is triggered by jumping sports (volleyball, basketball etc.) as well as different intrinsic (ligamentous laxity, Q-angle, patella height, tenderness, pattern of force development) and extrinsic dispositions (frequency of training, level of performance, hardness of underground). The place of pathology most often is the osteo-tendinous transition zone of the proximal patellar tendon. Histologic evaluation of the tendon showed that the disease is rather degenerative than inflammatory. The diagnosis is primarily based on the typical sports history, physical examination, and ultrasound. MRI is helpful in operation planning. Plain radiography, CT, and bone scans are used to rule out differential diagnoses. Therapy should be chosen according to the stage of the disease and usually starts with a non-surgical approach. This includes rest from sports activities, immobilisation, non-steroid antiphlogistics, para-tendinous cortisone injections, massage, electric therapy, ultrasound and extracorporal shock waves. Afterwards an increase of activities is begun (moderate training, adequate warm-up, ice cooling after activity, muscle stretching, eccentric strengthening of the quadriceps). Patella straps and soft insoles are used as prevention. Up to 42 % of patients need surgical therapy after failure of long-lasting non-surgical measures, carried out either open or arthroscopically. Surgical principles include excision of the para-tendon, excision of the degenerative tissue, resection of the lower patella pole, and longitudinal incisions into the tendon. Most patients are pain-free after surgery but return to sports

  11. Differences in Anatomy and Kinematics in Asian and Caucasian TKA Patients: Influence on Implant Positioning and Subsequent Loading Conditions in Mobile Bearing Knees

    PubMed Central

    Kim, Tae Kyun; Miehlke, Rolf K.; Grupp, Thomas M.

    2014-01-01

    The objective of our study was to determine the mechanical stress conditions under tibiofemoral loading with an overlay of knee kinematics in deep flexion on two different mobile bearing designs in comparison to in vivo failure modes. This study investigates the seldom but severe complication of fatigue failure of polyethylene components at mobile bearing total knee arthroplasty designs. Assuming a combination of a floor-based lifestyle and tibial malrotation as a possible reason for a higher failure rate in Asian countries we developed a simplified finite element model considering a tibiofemoral roll-back angle of 22° and the range of rotational motion of a clinically established floating platform design (e.motion FP) at a knee flexion angle of 120° in order to compare our results to failure modes found in retrieved implants. Compared to the failure mode observed in the clinical retrievals the locations of the occurring stress maxima as well as the tensile stress distribution show analogies. From our observations, we conclude that the newly introduced finite element model with an overlay of deep knee flexion (lateral roll-back) and considerable internally rotated tibia implant positioning is an appropriate analysis for knee design optimizations and a suitable method to predict clinical failure modes. PMID:25538943

  12. Radionuclide therapy for arthritic knees

    SciTech Connect

    Doepel, L.K.

    1985-02-08

    A new radionuclide therapeutic approach for rheumatoid arthritis of the knee is described. This therapy combines a short-lived radionuclide with a carrier whose physical and chemical characteristics aid retention of the radioactive particles within the joint. Joining a radionuclide to a particulate carrier had not been explored previously as a potential method for inhibiting radiation leakage. The treatment couples the rare earth element dysprosium 165 to ferric hydroxide in macroaggregate form (size range: 3 to 10 ..mu..m). After the relatively inert iron complex penetrates the synovium, it causes cell death. Macrophages and phagocytes clear away the cellular debris, essentially eliminating the synovium.

  13. MRI EVALUATION OF KNEE CARTILAGE

    PubMed Central

    Rodrigues, Marcelo Bordalo; Camanho, Gilberto Luís

    2015-01-01

    Through the ability of magnetic resonance imaging (MRI) to characterize soft tissue noninvasively, it has become an excellent method for evaluating cartilage. The development of new and faster methods allowed increased resolution and contrast in evaluating chondral structure, with greater diagnostic accuracy. In addition, physiological techniques for cartilage assessment that can detect early changes before the appearance of cracks and erosion have been developed. In this updating article, the various techniques for chondral assessment using knee MRI will be discussed and demonstrated. PMID:27022562

  14. Pediatric Knee Osteochondritis Dissecans Lesions.

    PubMed

    Cruz, Aristides I; Shea, Kevin G; Ganley, Theodore J

    2016-10-01

    Osteochondritis dissecans (OCD) can cause knee pain and dysfunction in children. The etiology of OCD remains unclear; theories on causes include inflammation, ischemia, ossification abnormalities, genetic factors, and repetitive microtrauma. Most OCD lesions in skeletally immature patients will heal with nonoperative treatment. The success of nonoperative treatment decreases once patients reach skeletal maturity. The goals of surgical treatment include maintenance of articular cartilage congruity, rigid fixation of unstable fragments, and repair of osteochondral defects with cells or tissues that can adequately replace lost or deficient cartilage. Unsalvageable OCD lesions can be treated with various surgical techniques. PMID:27637663

  15. Automatic locking knee brace joint

    NASA Technical Reports Server (NTRS)

    Weddendorf, Bruce (Inventor)

    1995-01-01

    This invention is an apparatus for controlling the pivotal movement of a knee brace comprising a tang-and-clevis joint that has been uniquely modified. Both the tang and the clevis have a set of teeth that, when engaged, can lock the tang and the clevis together. In addition, the tang is biased away from the clevis. Consequently, when there is no axial force (i.e., body weight) on the tang, the tang is free to pivot within the clevis. However, when an axial force is exerted on the tang, the tang is pushed into the clevis, both sets of teeth engage, and the tang and the clevis lock together.

  16. Epidemiology of Crohn's Disease.

    PubMed

    Sandler, R S; Golden, A L

    1986-04-01

    Although our current understanding is limited, epidemiologic investigation of Crohn's disease holds great promise. Certain aspects of the epidemiology are clear. The incidence of Crohn's disease, which has increased over the past few decades, may have reached a plateau. The disease has its peak onset in early life, with a second peak among the elderly. It is more common in the developed countries and among Jews. Whether the disease is related to occupation, social class, marital status, stress, infection, diet, smoking, and oral contraceptives is less certain. This paper reviews the epidemiology of Crohn's disease and proposes areas in which further research is needed.

  17. Evolution and social epidemiology.

    PubMed

    Nishi, Akihiro

    2015-11-01

    Evolutionary biology, which aims to explain the dynamic process of shaping the diversity of life, has not yet significantly affected thinking in social epidemiology. Current challenges in social epidemiology include understanding how social exposures can affect our biology, explaining the dynamics of society and health, and designing better interventions that are mindful of the impact of exposures during critical periods. I review how evolutionary concepts and tools, such as fitness gradient in cultural evolution, evolutionary game theory, and contemporary evolution in cancer, can provide helpful insights regarding social epidemiology.

  18. Regional or general anesthesia for fast-track hip and knee replacement - what is the evidence?

    PubMed

    Kehlet, Henrik; Aasvang, Eske Kvanner

    2015-01-01

    Regional anesthesia for knee and hip arthroplasty may have favorable outcome effects compared with general anesthesia by effectively blocking afferent input, providing initial postoperative analgesia, reducing endocrine metabolic responses, and providing sympathetic blockade with reduced bleeding and less risk of thromboembolic complications but with undesirable effects on lower limb motor and urinary bladder function. Old randomized studies supported the use of regional anesthesia with fewer postoperative pulmonary and thromboembolic complications, and this has been supported by recent large non-randomized epidemiological database cohort studies. In contrast, the data from newer randomized trials are conflicting, and recent studies using modern general anesthetic techniques may potentially support the use of general versus spinal anesthesia. In summary, the lack of properly designed large randomized controlled trials comparing modern general anesthesia and spinal anesthesia for knee and hip arthroplasty prevents final recommendations and calls for prospective detailed studies in this clinically important field. PMID:26918127

  19. Strongly Emitting Surfaces Unable to Float below Plasma Potential

    DOE PAGESBeta

    Campanell, M. D.; Umansky, M. V.

    2016-02-25

    One important unresolved question in plasma physics concerns the effect of strong electron emission on plasma-surface interactions. Previous papers reported solutions with negative and positive floating potentials relative to the plasma edge. For these two models a very different predictions for particle and energy balance is given. Here we show that the positive potential state is the only possible equilibrium in general. Even if a negative floating potential existed at t=0, the ionization collisions near the surface will force a transition to the positive floating potential state. Moreover, this transition is demonstrated with a new simulation code.

  20. Defining the IEEE-854 floating-point standard in PVS

    NASA Technical Reports Server (NTRS)

    Miner, Paul S.

    1995-01-01

    A significant portion of the ANSI/IEEE-854 Standard for Radix-Independent Floating-Point Arithmetic is defined in PVS (Prototype Verification System). Since IEEE-854 is a generalization of the ANSI/IEEE-754 Standard for Binary Floating-Point Arithmetic, the definition of IEEE-854 in PVS also formally defines much of IEEE-754. This collection of PVS theories provides a basis for machine checked verification of floating-point systems. This formal definition illustrates that formal specification techniques are sufficiently advanced that is is reasonable to consider their use in the development of future standards.

  1. Float level switch for a nuclear power plant containment vessel

    DOEpatents

    Powell, J.G.

    1993-11-16

    This invention is a float level switch used to sense rise or drop in water level in a containment vessel of a nuclear power plant during a loss of coolant accident. The essential components of the device are a guide tube, a reed switch inside the guide tube, a float containing a magnetic portion that activates a reed switch, and metal-sheathed, ceramic-insulated conductors connecting the reed switch to a monitoring system outside the containment vessel. Special materials and special sealing techniques prevent failure of components and allow the float level switch to be connected to a monitoring system outside the containment vessel. 1 figures.

  2. Float level switch for a nuclear power plant containment vessel

    DOEpatents

    Powell, James G.

    1993-01-01

    This invention is a float level switch used to sense rise or drop in water level in a containment vessel of a nuclear power plant during a loss of coolant accident. The essential components of the device are a guide tube, a reed switch inside the guide tube, a float containing a magnetic portion that activates a reed switch, and metal-sheathed, ceramic-insulated conductors connecting the reed switch to a monitoring system outside the containment vessel. Special materials and special sealing techniques prevent failure of components and allow the float level switch to be connected to a monitoring system outside the containment vessel.

  3. Are External Knee Load and EMG Measures Accurate Indicators of Internal Knee Contact Forces during Gait?

    PubMed Central

    Meyer, Andrew J.; D'Lima, Darryl D.; Besier, Thor F.; Lloyd, David G.; Colwell, Clifford W.; Fregly, Benjamin J.

    2013-01-01

    Mechanical loading is believed to be a critical factor in the development and treatment of knee osteoarthritis. However, the contact forces to which the knee articular surfaces are subjected during daily activities cannot be measured clinically. Thus, the ability to predict internal knee contact forces accurately using external measures (i.e., external knee loads and muscle EMG signals) would be clinically valuable. This study quantifies how well external knee load and EMG measures predict internal knee contact forces during gait. A single subject with a force-measuring tibial prosthesis and post-operative valgus alignment performed four gait patterns (normal, medial thrust, walking pole, and trunk sway) to induce a wide range of external and internal knee joint loads. Linear regression analyses were performed to assess how much of the variability in internal contact forces was accounted for by variability in the external measures. Though the different gait patterns successfully induced significant changes in the external and internal quantities, changes in external measures were generally weak indicators of changes in total, medial, and lateral contact force. Our results suggest that when total contact force may be changing, caution should be exercised when inferring changes in knee contact forces based on observed changes in external knee load and EMG measures. Advances in musculoskeletal modeling methods may be needed for accurate estimation of in vivo knee contact forces. PMID:23280647

  4. Real-Time Tracking of Knee Adduction Moment in Patients with Knee Osteoarthritis

    PubMed Central

    Kang, Sang Hoon; Lee, Song Joo; Zhang, Li-Qun

    2014-01-01

    Background The external knee adduction moment (EKAM) is closely associated with the presence, progression, and severity of knee osteoarthritis (OA). However, there is a lack of convenient and practical method to estimate and track in real-time the EKAM of patients with knee OA for clinical evaluation and gait training, especially outside of gait laboratories. New Method A real-time EKAM estimation method was developed and applied to track and investigate the EKAM and other knee moments during stepping on an elliptical trainer in both healthy subjects and a patient with knee OA. Results Substantial changes were observed in the EKAM and other knee moments during stepping in the patient with knee OA. Comparison with Existing Method(s) This is the first study to develop and test feasibility of real-time tracking method of the EKAM on patients with knee OA using 3-D inverse dynamics. Conclusions The study provides us an accurate and practical method to evaluate in real-time the critical EKAM associated with knee OA, which is expected to help us to diagnose and evaluate patients with knee OA and provide the patients with real-time EKAM feedback rehabilitation training. PMID:24361759

  5. 46 CFR 160.027-3 - Additional requirements for life floats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 6 2010-10-01 2010-10-01 false Additional requirements for life floats. 160.027-3..., CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Floats for Merchant Vessels § 160.027-3 Additional requirements for life floats. (a) Each life float must have a platform...

  6. 46 CFR 160.027-3 - Additional requirements for life floats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 6 2013-10-01 2013-10-01 false Additional requirements for life floats. 160.027-3..., CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Floats for Merchant Vessels § 160.027-3 Additional requirements for life floats. (a) Each life float must have a platform...

  7. 46 CFR 160.027-3 - Additional requirements for life floats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 6 2012-10-01 2012-10-01 false Additional requirements for life floats. 160.027-3..., CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Floats for Merchant Vessels § 160.027-3 Additional requirements for life floats. (a) Each life float must have a platform...

  8. 46 CFR 160.027-3 - Additional requirements for life floats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 6 2011-10-01 2011-10-01 false Additional requirements for life floats. 160.027-3..., CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Floats for Merchant Vessels § 160.027-3 Additional requirements for life floats. (a) Each life float must have a platform...

  9. 33 CFR 149.550 - What are the requirements for lights on a floating hose string?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... lights on a floating hose string? 149.550 Section 149.550 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Aids to Navigation Lights on Floating Hose Strings § 149.550 What are the requirements for lights on a floating hose string? Hose strings that are floating or supported on trestles must display...

  10. 33 CFR 149.550 - What are the requirements for lights on a floating hose string?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... lights on a floating hose string? 149.550 Section 149.550 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Aids to Navigation Lights on Floating Hose Strings § 149.550 What are the requirements for lights on a floating hose string? Hose strings that are floating or supported on trestles must display...

  11. 33 CFR 149.550 - What are the requirements for lights on a floating hose string?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... lights on a floating hose string? 149.550 Section 149.550 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Aids to Navigation Lights on Floating Hose Strings § 149.550 What are the requirements for lights on a floating hose string? Hose strings that are floating or supported on trestles must display...

  12. Epidemiology of Injuries and Prevention Strategies in Competitive Swimmers

    PubMed Central

    Wanivenhaus, Florian; Fox, Alice J. S.; Chaudhury, Salma; Rodeo, Scott A.

    2012-01-01

    Context: Competitive swimmers are predisposed to musculoskeletal injuries of the upper limb, knee, and spine. This review discusses the epidemiology of these injuries, in addition to prevention strategies that may assist the physician in formulating rehabilitation programs for the swimmer following an injury. Evidence Acquisition: A literature search was performed by a review of Google Scholar, OVID, and PubMed articles published from 1972 to 2011. Results: This study highlights the epidemiology of injuries common to competitive swimmers and provides prevention strategies for the sports health professional. Conclusions: An understanding of swimming biomechanics and typical injuries in swimming aids in early recognition of injury, initiation of treatment, and design of optimal prevention and rehabilitation strategies. PMID:23016094

  13. Three-dimensional dynamic analysis of knee joint during gait in medial knee osteoarthritis using loading axis of knee.

    PubMed

    Nishino, Katsutoshi; Omori, Go; Koga, Yoshio; Kobayashi, Koichi; Sakamoto, Makoto; Tanabe, Yuji; Tanaka, Masaei; Arakawa, Masaaki

    2015-07-01

    We recently developed a new method for three-dimensional evaluation of mechanical factors affecting knee joint in order to help identify factors that contribute to the progression of knee osteoarthritis (KOA). This study aimed to verify the clinical validity of our method by evaluating knee joint dynamics during gait. Subjects were 41 individuals (14 normal knees; 8 mild KOAs; 19 severe KOAs). The positions of skin markers attached to the body were captured during gait, and bi-planar X-ray images of the lower extremities were obtained in standing position. The positional relationship between the markers and femorotibial bones was determined from the X-ray images. Combining this relationship with gait capture allowed for the estimation of relative movement between femorotibial bones. We also calculated the point of intersection of loading axis of knee on the tibial proximal surface (LAK point) to analyze knee joint dynamics. Knee flexion range in subjects with severe KOA during gait was significantly smaller than that in those with normal knees (p=0.011), and knee adduction in those with severe KOA was significantly larger than in those with mild KOA (p<0.000). LAK point was locally loaded on the medial compartment of the tibial surface as KOA progressed, with LAK point of subjects with severe KOA rapidly shifting medially during loading response. Local loading and medial shear force were applied to the tibial surface during stance phase as medial KOA progressed. Our findings suggest that our method is useful for the quantitative evaluation of mechanical factors that affect KOA progression.

  14. Three-dimensional dynamic analysis of knee joint during gait in medial knee osteoarthritis using loading axis of knee.

    PubMed

    Nishino, Katsutoshi; Omori, Go; Koga, Yoshio; Kobayashi, Koichi; Sakamoto, Makoto; Tanabe, Yuji; Tanaka, Masaei; Arakawa, Masaaki

    2015-07-01

    We recently developed a new method for three-dimensional evaluation of mechanical factors affecting knee joint in order to help identify factors that contribute to the progression of knee osteoarthritis (KOA). This study aimed to verify the clinical validity of our method by evaluating knee joint dynamics during gait. Subjects were 41 individuals (14 normal knees; 8 mild KOAs; 19 severe KOAs). The positions of skin markers attached to the body were captured during gait, and bi-planar X-ray images of the lower extremities were obtained in standing position. The positional relationship between the markers and femorotibial bones was determined from the X-ray images. Combining this relationship with gait capture allowed for the estimation of relative movement between femorotibial bones. We also calculated the point of intersection of loading axis of knee on the tibial proximal surface (LAK point) to analyze knee joint dynamics. Knee flexion range in subjects with severe KOA during gait was significantly smaller than that in those with normal knees (p=0.011), and knee adduction in those with severe KOA was significantly larger than in those with mild KOA (p<0.000). LAK point was locally loaded on the medial compartment of the tibial surface as KOA progressed, with LAK point of subjects with severe KOA rapidly shifting medially during loading response. Local loading and medial shear force were applied to the tibial surface during stance phase as medial KOA progressed. Our findings suggest that our method is useful for the quantitative evaluation of mechanical factors that affect KOA progression. PMID:26002602

  15. Objective measurements of static anterior and rotational knee laxity.

    PubMed

    Mouton, Caroline; Theisen, Daniel; Seil, Romain

    2016-06-01

    Several devices allow to measure anterior and rotational static knee laxity. To date, the use of rotational laxity measurements in the daily clinical practice however remains to be improved. These measurements may be systematically integrated to the follow-up of knee injuries. Physiologic laxity measurements may particularly be of interest for the identification of risk factors in athletes. Furthermore, knee laxity measurements help to improve the diagnosis of knee soft tissue injuries and to follow up reconstructions. Further prospective follow-ups of knee laxity in the injured/reconstructed knees are however required to conclude on the best treatment strategy for knee soft tissue injuries. PMID:26970758

  16. EPIDEMIOLOGY AND EXPOSURE ASSESSMENT

    EPA Science Inventory

    Research collaborations between the National Health and Environmental Effects Research Laboratory (NHEERL) and the National Exposure Research Laboratory (NERL) centered on the development and application of exposure analysis tools in environmental epidemiology include the El Paso...

  17. Epidemiology of varicocele

    PubMed Central

    Alsaikhan, Bader; Alrabeeah, Khalid; Delouya, Guila; Zini, Armand

    2016-01-01

    Varicocele is a common problem in reproductive medicine practice. A varicocele is identified in 15% of healthy men and up to 35% of men with primary infertility. The exact pathophysiology of varicoceles is not very well understood, especially regarding its effect on male infertility. We have conducted a systematic review of studies evaluating the epidemiology of varicocele in the general population and in men presenting with infertility. In this article, we have identified some of the factors that can influence the epidemiological aspects of varicoceles. We also recognize that varicocele epidemiology remains incompletely understood, and there is a need for well-designed, large-scale studies to fully define the epidemiological aspects of this condition. PMID:26763551

  18. Epidemiology & Genomics Research Program

    Cancer.gov

    The Epidemiology and Genomics Research Program, in the National Cancer Institute's Division of Cancer Control and Population Sciences, funds research in human populations to understand the determinants of cancer occurrence and outcomes.

  19. Epidemiology of Lice

    ERIC Educational Resources Information Center

    Juranek, Dennis D.

    1977-01-01

    Research into the epidemiology of lice indicates that infestation is uncommon in blacks, more common in females than males, significantly higher in low income groups, and transmission is by way of articles of clothing. (JD)

  20. Cancer Epidemiology Cohorts

    Cancer.gov

    Cohort studies are fundamental for epidemiological research by helping researchers better understand the etiology of cancer and provide insights into the key determinants of this disease and its outcomes.

  1. [Molecular and genetic epidemiology].

    PubMed

    Kang, D H

    2001-04-21

    Molecular epidemiology is defined as "the use of biological markers in epidemiologic research" and genetic epidemiology is defined as "the study of the interaction between genetic and environmental factors in epidemiologic research". Traditional epidemiologic approaches defined as "the study of the distribution and determinants of disease frequency in human population" could not address the importance of genetic susceptibility of humans in disease occurrence. However, the use of biological or genetic markers identified and characterized by the help of advance in molecular biology and human genetics now can provide us better understanding of multi-factorial or multistep disease occurrence in humans. Biological markers used in molecular epidemiology are classified into three groups: biomarkers of exposure (i.e., carcinogen metabolites in human urine, DNA-adducts, etc.), biomarkers of effects (i.e., oncoproteins, tumor markers, etc.), and biomarkers of susceptibility (i.e., genetic polymorphisms of carcinogen metabolism enzymes, DNA repair, etc.). Susceptibility genes involved in disease pathogenesis are categorized into two groups: high penetrance genes (i.e., BRAC1, RB, etc.) and low penetrance genes (i.e., GSTs, XRCC1, etc.). This paper will address the usefulnesses of bomarkers in edpidemiologic research and will show the examples of the use of selected low penetrance genes involved in human carcinogenesis. The importance of multidisciplinary approaches among epidemiologists, molecular biologists, and human geneticists will also be discussed.

  2. High voltage switches having one or more floating conductor layers

    SciTech Connect

    Werne, Roger W.; Sampayan, Stephen; Harris, John Richardson

    2015-11-24

    This patent document discloses high voltage switches that include one or more electrically floating conductor layers that are isolated from one another in the dielectric medium between the top and bottom switch electrodes. The presence of the one or more electrically floating conductor layers between the top and bottom switch electrodes allow the dielectric medium between the top and bottom switch electrodes to exhibit a higher breakdown voltage than the breakdown voltage when the one or more electrically floating conductor layers are not present between the top and bottom switch electrodes. This increased breakdown voltage in the presence of one or more electrically floating conductor layers in a dielectric medium enables the switch to supply a higher voltage for various high voltage circuits and electric systems.

  3. Digital microfluidics with a magnetically actuated floating liquid marble.

    PubMed

    Khaw, Mei Kum; Ooi, Chin Hong; Mohd-Yasin, Faisal; Vadivelu, Raja; John, James St; Nguyen, Nam-Trung

    2016-06-21

    Controlled actuation of a floating liquid marble, a liquid droplet coated with hydrophobic particles floating on another liquid surface, is a potential digital microfluidics platform for the transport of aqueous solution with minimal volume loss. This paper reports our recent investigation on the magnetic actuation of floating liquid marbles filled with magnetic particles. The magnetic force and frictional force acting on the floating liquid marble determine the horizontal movement of the marble. We varied the magnetic flux density, flux density gradient, concentration of magnetic particles and speed of the marble to elucidate the relationship between the acting forces. We subsequently determined the suitable operating conditions for the actuation and derived the scaling laws for the actuation parameters. PMID:27191398

  4. 16. EAST ELEVATION OF FLOAT HOUSE AND FISH WATER RELEASE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. EAST ELEVATION OF FLOAT HOUSE AND FISH WATER RELEASE OUTLET. PART OF ENERGY DISSIPATING BAFFLE PIER SYSTEM IS VISIBLE AT LEFT. - Pit 4 Diversion Dam, Pit River west of State Highway 89, Big Bend, Shasta County, CA

  5. Floating Crane YD82 general view. Date taken unknown. Taken ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Floating Crane YD-82 - general view. Date taken unknown. Taken by Pearl Harbor photographer. Crane Division Collection - U.S. Naval Base, Pearl Harbor, Exterior Cranes, Waterfront Crane Track System, Pearl City, Honolulu County, HI

  6. 26. Mechanical float gages used to monitor level of water ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. Mechanical float gages used to monitor level of water in the filtration bed reservoir. - Lake Whitney Water Filtration Plant, Filtration Plant, South side of Armory Street between Edgehill Road & Whitney Avenue, Hamden, New Haven County, CT

  7. Multifractal analysis of managed and independent float exchange rates

    NASA Astrophysics Data System (ADS)

    Stošić, Darko; Stošić, Dusan; Stošić, Tatijana; Stanley, H. Eugene

    2015-06-01

    We investigate multifractal properties of daily price changes in currency rates using the multifractal detrended fluctuation analysis (MF-DFA). We analyze managed and independent floating currency rates in eight countries, and determine the changes in multifractal spectrum when transitioning between the two regimes. We find that after the transition from managed to independent float regime the changes in multifractal spectrum (position of maximum and width) indicate an increase in market efficiency. The observed changes are more pronounced for developed countries that have a well established trading market. After shuffling the series, we find that the multifractality is due to both probability density function and long term correlations for managed float regime, while for independent float regime multifractality is in most cases caused by broad probability density function.

  8. Preparation and evaluation of gastroretentive floating tablets of acyclovir.

    PubMed

    Garg, Rajeev; Gupta, G D

    2009-10-01

    The present study performed by preparation and evaluation of floating tablets of Acyclovir as model drug for prolongation of gastric residence time. Floating effervescent tablets were formulated by various materials like hydroxypropyl methylcellulose K 4M, K 15M, psyllium husk, swelling agent as crospovidone and microcrystalline cellulose and gas generating agent like sodium bicarbonate and citric acid and evaluated for floating properties, swelling characteristics and in vitro drug release studies. Floating noneffervescent tablets were prepared by polypropylene foam powder and different matrix forming polymers like HPMC K 4M, Carbopol 934P, xanthan gum and sodium alginate. In vitro drug release studies were performed and drug release kinetics evaluated using the linear regression method was found to follow both the Higuchi and the Korsmeyer and Peppas equation. The drug release mechanism was found fickian type in most of the formulations.

  9. 40. VAL CONNECTING BRIDGE AND BARGES FLOATING ON RESERVOIR (PREVIOUSLY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    40. VAL CONNECTING BRIDGE AND BARGES FLOATING ON RESERVOIR (PREVIOUSLY SUPPORTED MUZZLE END OF LAUNCHER BRIDGE). - Variable Angle Launcher Complex, Variable Angle Launcher, CA State Highway 39 at Morris Reservior, Azusa, Los Angeles County, CA

  10. 26. photographer unknown 29 December 1937 FLOATING MOORING BIT INSTALLED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. photographer unknown 29 December 1937 FLOATING MOORING BIT INSTALLED IN LOCK SIDEWALL. - Bonneville Project, Navigation Lock No. 1, Oregon shore of Columbia River near first Powerhouse, Bonneville, Multnomah County, OR

  11. 36. FLOAT WELL AND PIPE ENCASEMENT EAST CUTOFF WALL, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    36. FLOAT WELL AND PIPE ENCASEMENT - EAST CUTOFF WALL, REINFORCEMENT DETAILS. Sheet A-17, October, 1940. File no. SA 342/2. - Prado Dam, Outlet Works, Santa Ana River near junction of State Highways 71 & 91, Corona, Riverside County, CA

  12. 40 CFR 63.1043 - Standards-Separator floating roof.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) National Emission Standards for Oil-Water Separators and Organic-Water Separators § 63.1043 Standards... controlling air emissions from an oil-water separator or organic-water separator using a floating roof....

  13. The Cruciate Ligaments in Total Knee Arthroplasty.

    PubMed

    Parcells, Bertrand W; Tria, Alfred J

    2016-01-01

    The early knee replacements were hinge designs that ignored the ligaments of the knee and resurfaced the joint, allowing freedom of motion in a single plane. Advances in implant fixation paved the way for modern designs, including the posterior-stabilized (PS) total knee arthroplasty (TKA) that sacrifices both cruciate ligaments while substituting for the posterior cruciate ligament (PCL), and the cruciate-retaining (CR) TKA designs that sacrifice the anterior cruciate ligament but retain the PCL. The early bicruciate retaining (BCR) TKA designs suffered from loosening and early failures. Townley and Cartier designed BCR knees that had better clinical results but the surgical techniques were challenging.Kinematic studies suggest that normal motion relies on preservation of both cruciate ligaments. Unicompartmental knee arthroplasty retains all knee ligaments and closely matches normal motion, while PS and CR TKA deviate further from normal. The 15% to 20% dissatisfaction rate with current TKA has renewed interest in the BCR design. Replication of normal knee kinematics and proprioception may address some of the dissatisfaction.

  14. Surgical approaches for total knee arthroplasty.

    PubMed

    Vaishya, Raju; Vijay, Vipul; Demesugh, Daniel Mue; Agarwal, Amit Kumar

    2016-01-01

    There are various surgical approaches to the knee joint and its surrounding structures and such approaches are generally designed to allow the best access to an area of pathology whilst safeguarding important surrounding structures. Controversy currently surrounds the optimal surgical approach for total knee arthroplasty (TKA). The medial parapatellar arthrotomy, or anteromedial approach, has been the most used and has been regarded as the standard approach for exposure of the knee joint. It provides extensive exposure and is useful for open anterior cruciate ligament reconstruction, total knee replacement, and fixation of intra-articular fractures. Because this approach has been implicated in compromise of the patellar circulation, some authors have advocated the subvastus, midvastus, and trivector approaches for exposure of the knee joint. While these approaches expose the knee from the medial side, the anterolateral approach exposes the knee joint from the lateral side. With careful planning and arthrotomy selection, the anterior aspect of the joint can be adequately exposed for TKA in different clinical scenarios. PMID:27182142

  15. Knee arthrodesis – ultima ratio for the treatment of the infected knee

    PubMed Central

    Tiemann, Andreas H. H.

    2013-01-01

    The irretrievable destruction of the knee due to trauma, tumor or infection is the indication for knee arthrodesis. The main reason for knee arthrodesis in terms of infection ist the infected total knee arthroplasty. Central problem is the definition of the term “irretrievable”. It is based on the subjective opinion of the attending physician and depends on his expert knowledge of this specific entity. The preservation of a functioning extremity is the main goal. This article shows the typical indications and contraindications for knee arthrodesis following septic knee diseases. In addition it gives insight into the biomechanical and technical considerations to be kept in mind. Finally the postoperative care and outcome of different techniques are analysed. PMID:26504699

  16. Translational and rotational knee joint stability in anterior and posterior cruciate-retaining knee arthroplasty.

    PubMed

    Lo, JiaHsuan; Müller, Otto; Dilger, Torsten; Wülker, Nikolaus; Wünschel, Markus

    2011-12-01

    This study investigated passive translational and rotational stability properties of the intact knee joint, after bicruciate-retaining bi-compartmental knee arthroplasty (BKA) and after posterior cruciate retaining total knee arthroplasty (TKA). Fourteen human cadaveric knee specimens were used in this study, and a robotic manipulator with six-axis force/torque sensor was used to test the joint laxity in anterior-posterior translation, valgus-varus, and internal-external rotation. The results show the knee joint stability after bicruciate-retaining BKA is similar to that of the native knee. On the other hand, the PCL-retaining TKA results in inferior joint stability in valgus, varus, external rotation, anterior and, surprisingly, posterior directions. Our findings suggest that, provided functional ligamentous structures, bicruciate-retaining BKA is a biomechanically attractive treatment for joint degenerative disease.

  17. Dynamic splinting for knee flexion contracture following total knee arthroplasty: a case report

    PubMed Central

    Finger, Eric; Willis, F Buck

    2008-01-01

    Total Knee Arthroplasty operations are increasing in frequency, and knee flexion contracture is a common pathology, both pre-existing and post-operative. A 61-year-old male presented with knee flexion contracture following a total knee arthroplasty. Physical therapy alone did not fully reduce the contracture and dynamic splinting was then prescribed for daily low-load, prolonged-duration stretch. After 28 physical therapy sessions, the active range of motion improved from -20° to -12° (stiff knee still lacking full extension), and after eight additional weeks with nightly wear of dynamic splint, the patient regained full knee extension, (active extension improved from -12° to 0°). PMID:19113998

  18. Does ice float in Titan’s lakes and seas?

    NASA Astrophysics Data System (ADS)

    Hofgartner, Jason D.; Lunine, Jonathan I.

    2013-03-01

    We model Titan’s lakes and seas as methane-ethane-nitrogen systems and model the buoyancy of solids in these systems assuming thermodynamic equilibrium. We find that ice will float in methane-rich lakes for all temperatures below the freezing point of pure methane and that ice will also float in ethane-rich seas provided the ice has an air porosity of greater than 5% by volume.

  19. Knee joint arthroplasty after tibial osteotomy

    PubMed Central

    Fosco, Matteo; Cenni, Elisabetta; Tigani, Domenico

    2009-01-01

    A total of 29 consecutive knee joint arthroplasties in 24 patients who underwent previous high tibial osteotomy (HTO) for medial unicompartment osteoarthritis of the knee and followed up for a mean of 97 months were compared with a control group of 28 patients with 29 primary total knee arthroplasty (TKA) without previous HTO. Results for the osteotomy group were satisfactory in 96.5% of cases. In one patient loosening of the implant occurred after 37 months, which required prosthesis revision. Three patients underwent a further operation of secondary patella resurfacing for patella pain. The group without osteotomy reported a similar percentage of satisfactory results. PMID:19882155

  20. Physiotherapy following through-knee amputation.

    PubMed

    Mensch, G

    1983-08-01

    Physiotherapeutic treatment considerations specific to the through-knee amputee are presented. Treatment is determined by the assessment findings. The physiotherapy programme includes post-operative exercises, early weight-bearing, bed to chair transfers, bandaging techniques, the counteracting of contractures and gait training. Physiotherapy is a vital part of the rehabilitation of through-knee amputees. Principles of treatment are based on normal human locomotion, the individual patient's health status, biomechanical changes and expected stump functions. The through-knee stump is generally problem free, functional and end-bearing, allowing for a high rehabilitation rate in independent ambulation. It is therefore well suited for the geriatric amputee.

  1. An Analysis of the Full-Floating Journal Bearing

    NASA Technical Reports Server (NTRS)

    Shaw, M.C.; Nussdorfer, T.J.

    1947-01-01

    An analysis of the operating characteristics of a full-floating bearing - a bearing in which a floating sleeve is located between the journal and bearing surfaces - is presented together with charts - from which the performance of such bearings may be predicted. Examples are presented to illustrate the use of these charts and a limited number of experiments conducted upon a glass full-floating bearing to verify some results of the analysis are reported. The floating sleeve can operate over a wide range of speeds for a given shaft speed, the exact value depending principally upon the ratio of clearances and upon the ratio of radii of the bearing. Lower operating temperatures at high rotative speeds are to be expected by using a full-floating bearing. This lower operating temperature would be obtained at the expense of the load-carrying capacity of the bearing if, for comparison, the clearances remain the same in both bearings. A full-floating bearing having the same load capacity as a conventional journal bearing may be designed if decreased clearances are allowable.

  2. Evaluation of floating impeller phenomena in a Gyro centrifugal pump.

    PubMed

    Nishimura, Ikuya; Ichikawa, S; Mikami, M; Ishitoya, H; Motomura, T; Kawamura, M; Linneweber, J; Glueck, J; Shinohara, T; Nosé, Y

    2013-01-01

    The Gyro centrifugal pump developed as a totally implantable artificial heart was designed with a free impeller, in which the rotational shaft (male bearing) of the impeller was completely separated from the female bearing. For this type of pump, it is very important to keep the proper magnet balance (impeller-magnet and actuator-magnet) in order to prevent thrombus formation and/or bearing wear. When the magnet balance is not proper, the impeller is jerked down into the bottom bearing. On the other hand, if magnet balance is proper, the impeller lifted off the bottom of the pump housing within a certain range of pumping conditions. In this study, this floating phenomenon was investigated in detail. The floating phenomenon was proved by observation of the impeller behavior using a transparent acrylic pump. The impeller floating phenomenon was mapped on a pump performance curve. The impeller floating phenomenon is affected by the magnet-magnet coupling distance and rotational speed of the impeller. In order to keep the proper magnet balance and to maintain the impeller floating phenomenon at the driving condition of right and left pump, the magnet-magnet coupling distance was altered by a spacer which was installed between the pump and actuator. It became clear that the same pump could handle different conditions (right and left ventricular assist), by just changing the thickness of the spacer. When magnet balance is proper, the floating impeller phenomenon occurs automatically in response to the impeller rev. It is called "the dynamic RPM suspension".

  3. Multilateral installation from a floating rig

    SciTech Connect

    1998-07-01

    The Troll Olje gas province is approximately 100 km northwest of Bergen, Norway, in the Norwegian sector of the North Sea at a water depth of approximately 315 to 340 m. Troll Olje is part of the Troll gas field, where Norsk Hydro is responsible for developing two areas with thin oil rims. Before spudding the multilateral well described in this paper, 17 wells had been drilled and completed in the Troll Olje oil province. The multilateral-well concept was introduced in the gas province primarily to increase the drainage area for each well. When producing from two separate laterals, a lower drawdown pressure exists throughout the horizontal section. Therefore, gas coning is less likely to occur, and higher production rates can be sustained for a longer period of time. In addition, cost savings are substantial because of reduced well-construction time for each horizontal reservoir-drainage section and because of the reduced number of completion strings, subsea wellheads, and pipelines required for total field development. The full-length paper details design, development, testing, and installation of the first successful multilateral well installed from a floating rig offshore Norway. The paper gives a synopsis.

  4. Determination of representative dimension parameter values of Korean knee joints for knee joint implant design.

    PubMed

    Kwak, Dai Soon; Tao, Quang Bang; Todo, Mitsugu; Jeon, Insu

    2012-05-01

    Knee joint implants developed by western companies have been imported to Korea and used for Korean patients. However, many clinical problems occur in knee joints of Korean patients after total knee joint replacement owing to the geometric mismatch between the western implants and Korean knee joint structures. To solve these problems, a method to determine the representative dimension parameter values of Korean knee joints is introduced to aid in the design of knee joint implants appropriate for Korean patients. Measurements of the dimension parameters of 88 male Korean knee joint subjects were carried out. The distribution of the subjects versus each measured parameter value was investigated. The measured dimension parameter values of each parameter were grouped by suitable intervals called the "size group," and average values of the size groups were calculated. The knee joint subjects were grouped as the "patient group" based on "size group numbers" of each parameter. From the iterative calculations to decrease the errors between the average dimension parameter values of each "patient group" and the dimension parameter values of the subjects, the average dimension parameter values that give less than the error criterion were determined to be the representative dimension parameter values for designing knee joint implants for Korean patients.

  5. Complex function of the knee joint: the current understanding of the knee.

    PubMed

    Hirschmann, Michael T; Müller, Werner

    2015-10-01

    Since the early years of orthopaedics, it is a well-known fact that anatomy follows function. During the evolution of mankind, the knee has been optimally adapted to the forces and loads acting at and through the knee joint. However, anatomy of the knee joint is variable and the only constant is its complex function. In contrast to the time of open surgery, nowadays the majority of reconstructive knee surgery is done arthroscopically. Keyhole surgery is less invasive, but on the backside, the knee surgeon lacks daily visualisation of the complex open anatomy. As open anatomical knowledge is less present in our daily practice, it is even more important to highlight this complex anatomy and function of the knee. It is the purpose of this review to perform a systematic review of knee anatomy, highlight the complex function of the knee joint and present an overview about recent and current knowledge about knee function. Level of evidence Systematic review, Level IV. PMID:25962963

  6. Total knee arthroplasty in a rheumatoid arthritic knee with large geode: a case report.

    PubMed

    Shih, H N; Hsu, K Y; Tan, C F; Hsueh, S; Hsu, R W

    1997-09-01

    Geodes (subchondral cysts) are a well-known manifestation of rheumatoid arthritis. Solitary cysts or cysts larger than 2 cm are not generally found in the knee joint of patients with rheumatoid arthritis (RA). We report a case of RA involving both knees with a giant geode over the right proximal tibia. Surgical treatment was performed including synovectomy, cyst enucleation and packing of autogenous bone chips followed by primary total knee arthroplasty. The postsurgical result was excellent with the knee restored to good function and complete healing of the cystic lesion.

  7. Examination of knee joint moments on the function of knee-ankle-foot orthoses during walking.

    PubMed

    Andrysek, Jan; Klejman, Susan; Kooy, John

    2013-08-01

    The goal of this study was to investigate clinically relevant biomechanical conditions relating to the setup and alignment of knee-ankle-foot orthoses and the influence of these conditions on knee extension moments and orthotic stance control during gait. Knee moments were collected using an instrumented gait laboratory and concurrently a load transducer embedded at the knee-ankle-foot orthosis knee joint of four individuals with poliomyelitis. We found that knee extension moments were not typically produced in late stance-phase of gait. Adding a dorsiflexion stop at the orthotic ankle significantly decreased the knee flexion moments in late stance-phase, while slightly flexing the knee in stance-phase had a variable effect. The findings suggest that where users of orthoses have problems initiating swing-phase flexion with stance control orthoses, an ankle dorsiflexion stop may be used to enhance function. Furthermore, the use of stance control knee joints that lock while under flexion may contribute to more inconsistent unlocking of the stance control orthosis during gait.

  8. Improvements in knee biomechanics during walking are associated with increased physical activity after total knee arthroplasty.

    PubMed

    Arnold, John B; Mackintosh, Shylie; Olds, Timothy S; Jones, Sara; Thewlis, Dominic

    2015-12-01

    Total knee arthroplasty (TKA) in people with knee osteoarthritis increases knee-specific and general physical function, but it has not been established if there is a relationship between changes in these elements of functional ability. This study investigated changes and relationships between knee biomechanics during walking, physical activity, and use of time after TKA. Fifteen people awaiting TKA underwent 3D gait analysis before and six months after surgery. Physical activity and use of time were determined in free-living conditions from a high resolution 24-h activity recall. After surgery, participants displayed significant improvements in sagittal plane knee biomechanics and improved their physical activity profiles, standing for 105 more minutes (p=0.001) and performing 64 min more inside chores on average per day (p=0.008). Changes in sagittal plane knee range of motion (ROM) and peak knee flexion positively correlated with changes in total daily energy expenditure, time spent undertaking moderate to vigorous physical activity, inside chores and passive transport (r=0.52-0.66, p=0.005-0.047). Restoration of knee function occurs in parallel and is associated with improvements in physical activity and use of time after TKA. Increased functional knee ROM is required to support improvements in total and context specific physical activity.

  9. Is Lifelong Knee Joint Force from Work, Home, and Sport Related to Knee Osteoarthritis?

    PubMed Central

    Ratzlaff, Charles R.; Koehoorn, Mieke; Cibere, Jolanda; Kopec, Jacek A.

    2012-01-01

    Purpose. To investigate the association of cumulative lifetime knee joint force on the risk of self-reported medically-diagnosed knee osteoarthritis (OA). Methods. Exposure data on lifetime physical activity type (occupational, household, sport/recreation) and dose (frequency, intensity, duration) were collected from 4,269 Canadian men and women as part of the Physical Activity and Joint Heath cohort study. Subjects were ranked in terms of the “cumulative peak force index”, a measure of lifetime mechanical knee force. Multivariable logistic regression was conducted to obtain adjusted effects for mean lifetime knee force on the risk of knee OA. Results. High levels of total lifetime, occupational and household-related force were associated with an increased in risk of OA, with odds ratio's ranging from approximately 1.3 to 2. Joint injury, high BMI and older age were related to risk of knee OA, consistent with previous studies. Conclusions. A newly developed measure of lifetime mechanical knee force from physical activity was employed to estimate the risk of self-reported, medically-diagnosed knee OA. While there are limitations, this paper suggests that high levels of total lifetime force (all domains combined), and occupational force in men and household force in women were risk factors for knee OA. PMID:22848225

  10. Knee anterior laxity: a risk factor for traumatic knee injury among sportswomen?

    PubMed

    Vauhnik, Renata; Morrissey, Matthew C; Rutherford, Olga M; Turk, Zmago; Pilih, Iztok A; Pohar, Maja

    2008-09-01

    The purpose of this study was to investigate if knee anterior laxity, measured with an arthrometer, is a risk factor for traumatic knee injury in sportswomen. To allow a more complete analysis, other, easily measured variables such as anthropometry, lower leg characteristics, sport exposure and menstrual cycle characteristics were also evaluated as possible risk factors. Subjects were Slovenian sportswomen aged between 11 and 41 years participating in basketball, team handball and volleyball (N = 540). Sportswomen were tested in the pre-season and followed for one season. The data collection included: written informed consent, background questionnaire, anthropometric tests, leg dominance assessment, navicular drop test (measurement of foot pronation), passive knee extension assessment and measurement of knee anterior laxity with a KT arthrometer. Several sets of data analysis were performed including logistic regression analysis in order to build a model for predicting traumatic knee injury among sportswomen. Height and average hours of training per week were found to differ significantly (P < 0.05) between injured and uninjured sportswomen. More sportswomen injured their non-dominant leg. Traumatic knee injuries among Slovenian sportswomen participating in basketball, team handball and volleyball are associated with higher amounts of training, greater body height and greater knee anterior laxity. Only 1% of the variability in traumatic knee injuries among sportswomen were explained with those variables suggesting that there are many other variables associated with traumatic knee injuries among sportswomen than were tested in this study.

  11. Deconditioned Knee: The Effectiveness of a Rehabilitation Program that Restores Normal Knee Motion to Improve Symptoms and Function

    PubMed Central

    Biggs, Angela; Gray, Tinker

    2007-01-01

    Background Knee pain can cause a deconditioned knee. Deconditioned is defined as causing one to lose physical fitness. Therefore, a deconditioned knee is defined as a painful syndrome caused by anatomical or functional abnormalities that result in a knee flexion contracture (functional loss of knee extension), decreased strength, and decreased function. To date, no published studies exist examining treatment for a deconditioned knee. Objective To determine the effectiveness of a rehabilitation program focused on increasing range of motion for patients with a deconditioned knee. Methods Fifty patients (mean age 53.2 years) enrolled in the study. Objective evaluation included radiographs, knee range of motion, and isokinetic strength testing. The International Knee Documentation Committee (IKDC) subjective questionnaire was used to measure symptoms and function. Patients were given a rehabilitation program to increase knee extension (including hyperextension) and flexion equal to the normal knee, after which patients were instructed in leg strengthening exercises. Results Knee extension significantly improved from a mean deficit of 10° to 3° and knee flexion significantly improved from a mean deficit of 19° to 9°. The IKDC survey scores significantly improved from a mean of 34.5 points to 70.5 points 1 year after beginning treatment. The IKDC subjective pain frequency and severity scores were significantly improved. Conclusions A rehabilitation program that improves knee range of motion can relieve pain and improve function for patients with a deconditioned knee. PMID:21522205

  12. Influence of different types of low substituted hydroxypropyl cellulose on tableting, disintegration, and floating behaviour of floating drug delivery systems

    PubMed Central

    Diós, Péter; Pernecker, Tivadar; Nagy, Sándor; Pál, Szilárd; Dévay, Attila

    2014-01-01

    The object of the present study is to evaluate the effect of application of low-substituted hydroxypropyl cellulose (L-HPC) 11 and B1 as excipients promoting floating in gastroretentive tablets. Directly compressed tablets were formed based on experimental design. Face-centred central composite design was applied with two factors and 3 levels, where amount of sodium alginate (X1) and L-HPC (X2) were the numerical factors. Applied types of L-HPCs and their 1:1 mixture were included in a categorical factor (X3). Studied parameters were floating lag time, floating time, floating force, swelling behaviour of tablets and dissolution of paracetamol, which was used as a model active substance. Due to their physical character, L-HPCs had different water uptake and flowability. Lower flowability and lower water uptake was observed after 60 min at L-HPC 11 compared to L-HPC B1. Shorter floating times were detected at L-HPC 11 and L-HPC mixtures with 0.5% content of sodium alginate, whereas alginate was the only significant factor. Evaluating results of drug release and swelling studies on floating tablets revealed correlation, which can serve to help to understand the mechanism of action of L-HPCs in the field development of gastroretentive dosage forms. PMID:26702261

  13. NAVIGATION IN TOTAL KNEE ARTHROPLASTY

    PubMed Central

    da Mota e Albuquerque, Roberto Freire

    2015-01-01

    Navigation was the most significant advance in instrumentation for total knee arthroplasty over the last decade. It provides surgeons with a precision tool for carrying out surgery, with the possibility of intraoperative simulation and objective control over various anatomical and surgical parameters and references. Since the first systems, which were basically used to control the alignment of bone cutting referenced to the mechanical axis of the lower limb, many other surgical steps have been incorporated, such as component rotation, ligament balancing and arranging the symmetry of flexion and extension spaces, among others. Its efficacy as a precision tool with an effective capacity for promoting better alignment of the lower-limb axis has been widely proven in the literature, but the real value of optimized alignment and the impact of navigation on clinical results and the longevity of arthroplasty have yet to be established. PMID:27026979

  14. Lockable Knee Brace Speeds Rehabilitation

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Marshall Space Flight Center develops key transportation and propulsion technologies for the Space Agency. The Center manages propulsion hardware and technologies of the space shuttle, develops the next generation of space transportation and propulsion systems, oversees science and hardware development for the International Space Station, manages projects and studies that will help pave the way back to the Moon, and handles a variety of associated scientific endeavors to benefit space exploration and improve life here on Earth. It is a large and diversified center, and home to a great wealth of design skill. Some of the same mechanical design skill that made its way into the plans for rocket engines and advanced propulsion at this Alabama-based NASA center also worked its way into the design of an orthotic knee joint that is changing the lives of people with weakened quadriceps.

  15. MRI based knee cartilage assessment

    NASA Astrophysics Data System (ADS)

    Kroon, Dirk-Jan; Kowalski, Przemyslaw; Tekieli, Wojciech; Reeuwijk, Els; Saris, Daniel; Slump, Cornelis H.

    2012-03-01

    Osteoarthritis is one of the leading causes of pain and disability worldwide and a major health problem in developed countries due to the gradually aging population. Though the symptoms are easily recognized and described by a patient, it is difficult to assess the level of damage or loss of articular cartilage quantitatively. We present a novel method for fully automated knee cartilage thickness measurement and subsequent assessment of the knee joint. First, the point correspondence between a pre-segmented training bone model is obtained with use of Shape Context based non-rigid surface registration. Then, a single Active Shape Model (ASM) is used to segment both Femur and Tibia bone. The surfaces obtained are processed to extract the Bone-Cartilage Interface (BCI) points, where the proper segmentation of cartilage begins. For this purpose, the cartilage ASM is trained with cartilage edge positions expressed in 1D coordinates at the normals in the BCI points. The whole cartilage model is then constructed from the segmentations obtained in the previous step. An absolute thickness of the segmented cartilage is measured and compared to the mean of all training datasets, giving as a result the relative thickness value. The resulting cartilage structure is visualized and related to the segmented bone. In this way the condition of the cartilage is assessed over the surface. The quality of bone and cartilage segmentation is validated and the Dice's coefficients 0.92 and 0.86 for Femur and Tibia bones and 0.45 and 0.34 for respective cartilages are obtained. The clinical diagnostic relevance of the obtained thickness mapping is being evaluated retrospectively. We hope to validate it prospectively for prediction of clinical outcome the methods require improvements in accuracy and robustness.

  16. Posterior cruciate ligament of the knee (image)

    MedlinePlus

    The posterior cruciate ligament (PCL) is a powerful ligament extending from the top-rear surface of the tibia to the bottom-front surface of the femur. The ligament prevents the knee joint from posterior instability.

  17. Risks of hip and knee replacement

    MedlinePlus

    ... JW, Crockarell JR. Arthroplasty of the hip In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics . 12th ... 24820247 . Mihalko WM. Arthroplasty of the knee. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics . 12th ...

  18. Deciding to have knee or hip replacement

    MedlinePlus

    ... JW, Crockarell JR. Arthroplasty of the hip In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics . 12th ... 3. Mihalk WM. Arthroplasty of the knee. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics . 12th ...

  19. Computational Poromechanics of Human Knee Joint

    NASA Astrophysics Data System (ADS)

    Kazemi, Mojtaba; Li, LePing

    2012-02-01

    Extensive computer modeling has been performed in the recent decade to investigate the mechanical response of the healthy and repaired knee joints. Articular cartilages and menisci have been commonly modeled as single-phase elastic materials in the previous 3D simulations. A comprehensive study considering the interplay of the collagen fibers and fluid pressurization in the tissues in situ remains challenging. We have developed a 3D model of the human knee accounting for the mechanical function of collagen fibers and fluid flow in the cartilages and menisci. An anatomically accurate structure of the human knee was used for this purpose including bones, articular cartilages, menisci and ligaments. The fluid pressurization in the femoral cartilage and menisci under combined creep loading was investigated. Numerical results showed that fluid flow and pressure in the tissues played an important role in the mechanical response of the knee joint. The load transfer in the joint was clearly seen when the fluid pressure was considered.

  20. Platelet Rich Plasma and Knee Surgery

    PubMed Central

    Sánchez, Mikel; Sánchez, Pello; Orive, Gorka; Anitua, Eduardo; Padilla, Sabino

    2014-01-01

    In orthopaedic surgery and sports medicine, the knee joint has traditionally been considered the workhorse. The reconstruction of every damaged element in this joint is crucial in achieving the surgeon's goal to restore the knee function and prevent degeneration towards osteoarthritis. In the last fifteen years, the field of regenerative medicine is witnessing a boost of autologous blood-derived platelet rich plasma products (PRPs) application to effectively mimic and accelerate the tissue healing process. The scientific rationale behind PRPs is the delivery of growth factors, cytokines, and adhesive proteins present in platelets and plasma, as well as other biologically active proteins conveyed by the plasma such as fibrinogen, prothrombin, and fibronectin; with this biological engineering approach, new perspectives in knee surgery were opened. This work describes the use of PRP to construct and repair every single anatomical structure involved in knee surgery, detailing the process conducted in ligament, meniscal, and chondral surgery. PMID:25302310

  1. Knee bone tumors: findings on conventional radiology*

    PubMed Central

    Andrade Neto, Francisco; Teixeira, Manuel Joaquim Diógenes; Araújo, Leonardo Heráclio do Carmo; Ponte, Carlos Eduardo Barbosa

    2016-01-01

    The knee is a common site for bone tumors, whether clinically painful or not. Conventional radiology has been established as the first line of investigation in patients with knee pain and can reveal lesions that often generate questions not only for the generalist physician but also for the radiologist or general orthopedist. History, image examination, and histopathological analysis compose the essential tripod of the diagnosis of bone tumors, and conventional radiology is an essential diagnostic tool in patients with knee pain. This pictorial essay proposes to depict the main conventional radiography findings of the most common bone tumors around the knee, including benign and malignant tumors, as well as pseudo-tumors. PMID:27403019

  2. [Physical examination of the knee after trauma].

    PubMed

    Rommers, G M; de Jongh, Tjeerd O H; van der Sluis, Corry K; Dekker, Rienk

    2011-01-01

    The practice guideline 'Traumatic knee complaints' from the Dutch College of General Practitioners is aimed at differentiating between intra-articular and extra-articular lesions. The diagnosis is based mainly on a combination of patient history and a limited physical examination of the knee. Specific tests for hydrarthrosis, injuries to the collateral or cruciate ligaments, and meniscal pathology have only a low diagnostic accuracy. Few reliable studies have been conducted into the diagnostic value of specific tests; most studies employed poor methodology, had considerable inter-observer variation and produced widely heterogenous results. Inspection of the knee can provide information regarding the presence of fluids in the knee (hydrarthrosis or haemarthrosis). A restricted active range of movement in flexion and extension may indicate osteoarthritis or arthritis.

  3. American Association of Hip and Knee Surgeons

    MedlinePlus

    ... Replacement Surgery Will my artificial joint set off airport security metal detectors? Preventing Infection in Your Joint at ... Knee Replacement Will my artificial joint set off airport security metal detectors? Contact Us Draft Hip Arthroplasty Performance ...

  4. Progenitor model of cosmic ray knee

    NASA Astrophysics Data System (ADS)

    Bijay, Biplab; Bhadra, Arunava

    2016-01-01

    The primary energy spectrum of cosmic rays exhibits a knee at about 3 PeV where a change in the spectral index occurs. Despite many efforts, the origin of such a feature in the spectrum is not satisfactorily solved yet. Here it is proposed that the steepening of the spectrum beyond the knee may be a consequence of the mass distribution of the progenitor of the cosmic ray source. The proposed speculative model can account for all the major observed features of cosmic rays without invoking any fine tuning to match flux or spectra at any energy point. The prediction of the proposed model regarding the primary composition scenario beyond the knee is quite different from most of the prevailing models of the knee, and thereby can be discriminated from precise experimental measurement of the primary composition.

  5. BASK survey of The Knee readership 2015.

    PubMed

    Aframian, Arash; Johnson, David Sands; Hing, Caroline Blanca

    2015-10-01

    A convenience sample of the attendees of the 2015 annual meeting of the British Association of Knee showed that the majority of the attendees who responded read The Knee, would like a section on surgical tips, more themed supplements and guest editorials. There is still not enough support for purely electronic publication. For those that have submitted papers, the experience with the publication process was positive.

  6. Proximal tibial fracture following total knee arthroplasty.

    PubMed

    Krause, Heike; Dunleavy, Kim

    2011-09-01

    The patient was a 74-year-old man, with a history of total knee arthoplasty 14 years earlier, after having sustained a pathological fracture of the proximal diaphysis of the left tibia following a fall. Given the unstable nature of the fracture and the severe osteolysis noted below the total knee arthroplasty, surgical management 1 day after the fall entailed packing cancellous bone graft into the defect and realigning the fracture. PMID:21885911

  7. Multibody dynamic simulation of knee contact mechanics

    PubMed Central

    Bei, Yanhong; Fregly, Benjamin J.

    2006-01-01

    Multibody dynamic musculoskeletal models capable of predicting muscle forces and joint contact pressures simultaneously would be valuable for studying clinical issues related to knee joint degeneration and restoration. Current three-dimensional multi-body knee models are either quasi-static with deformable contact or dynamic with rigid contact. This study proposes a computationally efficient methodology for combining multibody dynamic simulation methods with a deformable contact knee model. The methodology requires preparation of the articular surface geometry, development of efficient methods to calculate distances between contact surfaces, implementation of an efficient contact solver that accounts for the unique characteristics of human joints, and specification of an application programming interface for integration with any multibody dynamic simulation environment. The current implementation accommodates natural or artificial tibiofemoral joint models, small or large strain contact models, and linear or nonlinear material models. Applications are presented for static analysis (via dynamic simulation) of a natural knee model created from MRI and CT data and dynamic simulation of an artificial knee model produced from manufacturer’s CAD data. Small and large strain natural knee static analyses required 1 min of CPU time and predicted similar contact conditions except for peak pressure, which was higher for the large strain model. Linear and nonlinear artificial knee dynamic simulations required 10 min of CPU time and predicted similar contact force and torque but different contact pressures, which were lower for the nonlinear model due to increased contact area. This methodology provides an important step toward the realization of dynamic musculoskeletal models that can predict in vivo knee joint motion and loading simultaneously. PMID:15564115

  8. Observer variation in examination of knee joints.

    PubMed

    Marks, J S; Palmer, M K; Burke, M J; Smith, P

    1978-08-01

    The knees of 20 patients with rheumatoid arthritis were each examined on two occasions on the same morning by three observers. Assessments were made of joint warmth, synovial thickening, effusion, instability, quadriceps power, bony enlargement, range of movement, and knee circumference, and were graded on a scale of 0-4. Analysis of the results shows close intraobserver agreement for all measurements but considerable interobserver variation for all subjective measurements.

  9. How crouch gait can dynamically induce stiff-knee gait.

    PubMed

    van der Krogt, Marjolein M; Bregman, Daan J J; Wisse, Martijn; Doorenbosch, Caroline A M; Harlaar, Jaap; Collins, Steven H

    2010-04-01

    Children with cerebral palsy frequently experience foot dragging and tripping during walking due to a lack of adequate knee flexion in swing (stiff-knee gait). Stiff-knee gait is often accompanied by an overly flexed knee during stance (crouch gait). Studies on stiff-knee gait have mostly focused on excessive knee muscle activity during (pre)swing, but the passive dynamics of the limbs may also have an important effect. To examine the effects of a crouched posture on swing knee flexion, we developed a forward-dynamic model of human walking with a passive swing knee, capable of stable cyclic walking for a range of stance knee crouch angles. As crouch angle during stance was increased, the knee naturally flexed much less during swing, resulting in a 'stiff-knee' gait pattern and reduced foot clearance. Reduced swing knee flexion was primarily due to altered gravitational moments around the joints during initial swing. We also considered the effects of increased push-off strength and swing hip flexion torque, which both increased swing knee flexion, but the effect of crouch angle was dominant. These findings demonstrate that decreased knee flexion during swing can occur purely as the dynamical result of crouch, rather than from altered muscle function or pathoneurological control alone.

  10. Knee Instability and Basic and Advanced Function Decline in Persons with Knee Osteoarthritis

    PubMed Central

    Sharma, Leena; Chmiel, Joan S.; Almagor, Orit; Moisio, Kirsten; Chang, Alison H.; Belisle, Laura; Zhang, Yunhui; Hayes, Karen W.

    2015-01-01

    Objective Manifestations of instability in knee OA include low overall knee confidence, low confidence that the knees will not buckle, buckling, and excessive motion during gait. Confidence and buckling may particularly influence activity choices, contributing to events leading to disability. Buckling is more likely to affect advanced than basic functional tasks. In this prospective, longitudinal study, we tested the hypotheses: overall knee confidence, buckling confidence, buckling, and frontal plane motion during gait are associated with advanced 2-year function outcome in persons with knee OA. Methods Persons with knee OA were queried about overall knee confidence (higher worse), buckling confidence, and knee buckling, and underwent quantitative gait analysis to quantify varus-valgus excursion and angular velocity. Physical function was assessed using the LLFDI Basic and Advanced Lower Extremity Domain scores. Logistic regression was used to evaluate the relationship between baseline instability measures and baseline-to-2-year function outcome, adjusting for potential confounders. Results 212 persons (mean age 64.6 years, 76.9% women) comprised the sample. Buckling was significantly associated with poor advanced (adjusted OR 2.08, 95% CI: 1.03–4.20) but not basic function outcome. Overall knee confidence was significantly associated with advanced outcome (adjusted OR 1.65, 95% CI: 1.01–2.70), while associations between buckling confidence and both outcomes approached significance. Neither varus-valgus excursion nor angular velocity during gait was associated with either outcome. Conclusion Knee buckling and confidence were each associated with poor 2-year advanced function outcome. Current treatment does not address these modifiable factors; interventions to address them may improve outcome in knee OA. PMID:25732594

  11. Total knee arthroplasty using subvastus approach in stiff knee: A retrospective analysis of 110 cases

    PubMed Central

    Shah, Nilen A; Patil, Hitendra Gulabrao; Vaishnav, Vinod O; Savale, Abhijit

    2016-01-01

    Background: Subvastus approach used in total knee arthroplasty (TKA) is known to produce an earlier recovery but is not commonly utilized for TKA when the preoperative range of motion (ROM) of the knee is limited. Subvastus approach is known for its ability to give earlier recovery due to less postoperative pain and early mobilization (due to rapid quadriceps recovery). Subvastus approach is considered as a relative contraindication for TKA in knees with limited ROM due to difficulty in exposure which can increase risk of complications such as patellar tendon avulsion or medial collateral injury. Short stature and obesity are also relative contraindications. Tarabichi successfully used subvastus approach in knees with limited preoperative ROM. However, there are no large series in literature with the experience of the subvatus approach in knees with limited preoperative ROM. We are presenting our experience of the subvastus approach for TKA in knees with limited ROM. Materials and Methods: We conducted retrospective analysis of patients with limited preoperative ROM (flexion ≤90°) of the knee who underwent TKA using subvastus approach and presenting the 2 years results. There were a total 84 patients (110 knees) with mean age 64 (range 49–79 years) years. The mean preoperative flexion was 72° (range 40°–90°) with a total ROM of 64° (range 36°–90°). Results: Postoperatively knee flexion improved by mean 38° (P < 0.05) which was significant as assed by Student's t- test. The mean knee society score improved from 36 (range 20–60) to 80 (range 70–90) postoperatively (P < 0.05). There was one case of partial avulsion of patellar tendon from the tibial tubercle. Conclusions: We concluded that satisfactory results of TKA can be obtained in knees with limited preoperative ROM using subvastus approach maintaining the advantages of early mobilization. PMID:27053806

  12. Shifting epidemiology of Flaviviridae.

    PubMed

    Petersen, Lyle R; Marfin, Anthony A

    2005-04-01

    The dengue, West Nile, Japanese encephalitis and yellow fever viruses are important mosquito-borne viruses whose epidemiology is shifting in response to changing societal factors, such as increasing commerce, urbanization of rural areas, and population growth. All four viruses are expanding geographically, as exemplified by the emergence of West Nile virus in the Americas and Japanese encephalitis virus in Australasia. The large, recent global outbreaks of severe neurological disease caused by West Nile virus, the increasing frequency of dengue hemorrhagic fever outbreaks in the Americas, and the emergence of yellow fever virus vaccination-associated viscerotropic disease, are new clinical epidemiologic trends. These worrisome epidemiologic trends will probably continue in coming decades, as a reversal of their societal and biological drivers is not in sight. Nevertheless, the substantial reductions in Japanese encephalitis virus incidence resulting from vaccination programs and economic development in some Asian countries provide some encouragement within this overall guarded outlook.

  13. Whose epidemiology, whose health?

    PubMed

    Wing, S

    1998-01-01

    Simplistic claims about the objectivity of science have been challenged from a variety of perspectives. Evaluation of the external context of production of knowledge and the methodological approaches to posing questions and assembling evidence shows that there is no pure "science"; rather, all scientific knowledge is shaped by the social history of its production. Examples are given of how quantitative concepts in modern epidemiology influence the recognition of the causes of disease. The author uses the phenomenon of intensive swine production by vertically integrated agribusiness to illustrate how broad problems such as environmental racism, agricultural determinants of nutrition, loss of natural resources, and conditions conducive to emergence of new diseases are hidden by epidemiological approaches that fit into corporate policy perspectives. It is critically important to ask who produces epidemiological knowledge, and whose health is promoted by that knowledge.

  14. PREDICTIVE PHARMACOKINETICS OF TRAMADOL HYDROCHLORIDE FLOATING TABLETS.

    PubMed

    Wang, Jianming; Zhang, Yanzhen; Guo, Zhiling; Tao, Qingwen; Wang, Yongjun; Zhou, Wei; Ma, Xiao; Li, Zhihong

    2016-01-01

    The purpose of this study was to propose the effectiveness of convolution approach to predict pharmacokinetics of tramadol hydrochloride floating tablets, prepared by using various ratios of carbopol, HPMC K100M, and Hibiscus rosa Sinensis as excipient. The in vitro dissolution test was conducted using paddle method in 900 mL of HCl buffer with pH 1.2 to simulate the gastric condition. The stirring speed of paddles was set at 70 rpm. Temperature of dissolution medium was adjusted at 37 ± 5 °C. At predetermined time points, 5 mL of dissolution samples were taken with a replacement of same volume using fresh medium. The obtained samples were analyzed at 271 nm using UV visible spectrophotometer. The values of predicted pharmacokinetic parameters like Cmax (maximum blood drug level), Tmax (time required to attain maximum blood drug level), and AUC (area under blood drug concentration curve) ranged between 80.8 ± 3.2-119.6 ± 4.7 ng/mL, 11.4 ± 0.2-12.2 ± 0.2 h, and 1430.5 ± 209.5-1970.6 ± 287.4 ng.h/mL, respectively. This certainly is a desired feature required at the formulation development step, where the formulator requires the development of a formulation using desired in vivo features on the basis of only accessible in vitro data. It can be concluded from the results that convolution method is a practical method for the prediction of drug concentration in blood and for quality control. PMID:27476294

  15. Free-floating atmospheric pressure ball plasmas

    NASA Astrophysics Data System (ADS)

    Wurden, G. A.; Ticos, C.; Wang, Z.; Wurden, C. J. V.

    2007-11-01

    A long-lived (0.3 second, 10-20 cm diameter) ball plasma floating in the air above a water surface has been formed and studied in the laboratory. A 0.4 - 1 mF capacitor is charged to 4-5 kV, and subsequently discharged (30-60 Amps, 20-50 msec duration) into central copper cathode held fixed just below the surface of a bucket of water (with a weak solution of various salts in distilled water, such as CuSO4 or CuCl2, LiCl or NaCl). An underwater ring anode completes the circuit. A bubble of hot vapor from the water surface rises up in the first few milliseconds, and changes from a mushroom cloud with stalk, to a detached quasi-spherical object, finally evolving into a vortex ring. The plasma consists of ionized water vapor, with positive salts and OH- radicals, as well as molecular species, and it completely excludes nitrogen or oxygen from the rising plasma structure. A fine boundary layer is visible in orange, in contrast to a green ball interior when using Cu/CuSO4, and filamentary structures are visible at late times. Finally, a whisp of smoke ring is observed as a residue. A variety of visible and infrared imaging (both video and still cameras) are used, along with 200-800 nm time & space resolved spectroscopy, to identify features of this laboratory analog to ball lightning. Possible applications include a windowless ball- plasma powered pulsed copper vapor laser operating at 510 nm.

  16. Dislocation of the knee: imaging findings.

    PubMed

    Shearer, Damon; Lomasney, Laurie; Pierce, Kenneth

    2010-01-01

    Dislocations of the knee are relatively uncommon injuries. However, the incidence of this injury appears to be increasing. Knee dislocations are most often high velocity blunt injuries, with motor vehicle accidents being a frequent etiology. Other causes include falls from height, athletic injuries, farming and industrial accidents, and even low velocity mechanisms such as a misstep into a hole. Likewise, minor trauma in the morbidly obese is increasingly recognized as a mechanism of knee dislocation. Multiple forms of dislocation exist, with the common factor being disruption of the tibiofemoral articulation. Dislocation can occur in a variety of directions depending on the mechanism of injury. The most common dislocation is anterior, which may be seen in hyperextension injuries such as martial arts kicking. The "dashboard injury" of motor vehicle accidents can result in a posterior dislocation of the knee. Lateral and rotary dislocations are less common. Knee dislocation is more commonly diagnosed in men, with a mean age of 23 to 31 years old. This is the very patient population encountered by Special Operations Forces (SOF) healthcare providers. Given the mechanisms of injury noted above, it is reasonable to conclude that knee dislocations may be seen in a young, active SOF patient population, particularly those engaged in parachuting, fast-roping/rappelling, driving at high speeds during military operations, and mixed martial arts. PMID:20306414

  17. MR Imaging of Knee Arthroplasty Implants

    PubMed Central

    Fritz, Jan; Lurie, Brett

    2015-01-01

    Primary total knee arthroplasty is a highly effective treatment that relieves pain and improves joint function in a large percentage of patients. Despite an initially satisfactory surgical outcome, pain, dysfunction, and implant failure can occur over time. Identifying the etiology of complications is vital for appropriate management and proper timing of revision. Due to the increasing number of knee arthroplasties performed and decreasing patient age at implantation, there is a demand for accurate diagnosis to determine appropriate treatment of symptomatic joints following knee arthroplasty, and for monitoring of patients at risk. Magnetic resonance (MR) imaging allows for comprehensive imaging evaluation of the tissues surrounding knee arthroplasty implants with metallic components, including the polyethylene components. Optimized conventional and advanced pulse sequences can result in substantial metallic artifact reduction and afford improved visualization of bone, implant-tissue interfaces, and periprosthetic soft tissue for the diagnosis of arthroplasty-related complications. In this review article, we discuss strategies for MR imaging around knee arthroplasty implants and illustrate the imaging appearances of common modes of failure, including aseptic loosening, polyethylene wear–induced synovitis and osteolysis, periprosthetic joint infections, fracture, patellar clunk syndrome, recurrent hemarthrosis, arthrofibrosis, component malalignment, extensor mechanism injury, and instability. A systematic approach is provided for evaluation of MR imaging of knee implants. MR imaging with optimized conventional pulse sequences and advanced metal artifact reduction techniques can contribute important information for diagnosis, prognosis, risk stratification, and surgical planning. ©RSNA, 2015 PMID:26295591

  18. Epidemiology of Lung Cancer.

    PubMed

    Mao, Yousheng; Yang, Ding; He, Jie; Krasna, Mark J

    2016-07-01

    Lung cancer has been transformed from a rare disease into a global problem and public health issue. The etiologic factors of lung cancer become more complex along with industrialization, urbanization, and environmental pollution around the world. Currently, the control of lung cancer has attracted worldwide attention. Studies on the epidemiologic characteristics of lung cancer and its relative risk factors have played an important role in the tertiary prevention of lung cancer and in exploring new ways of diagnosis and treatment. This article reviews the current evolution of the epidemiology of lung cancer. PMID:27261907

  19. Greater Step Widths Reduce Internal Knee Abduction Moments in Medial Compartment Knee Osteoarthritis Patients During Stair Ascent.

    PubMed

    Paquette, Max R; Klipple, Gary; Zhang, Songning

    2015-08-01

    Increased step widths have been shown to reduce peak internal knee abduction moments in healthy individuals but not in knee osteoarthritis patients during stair descent. This study aimed to assess effects of increased step widths on peak knee abduction moments and associated variables in adults with medial knee osteoarthritis and healthy older adults during stair ascent. Thirteen healthy older adults and 13 medial knee osteoarthritis patients performed stair ascent using preferred, wide, and wider step widths. Three-dimensional kinematics and ground reaction forces (GRFs) using an instrumented staircase were collected. Increased step width reduced first and second peak knee abduction moments, and knee abduction moment impulse. In addition, frontal plane GRF at time of first and second peak knee abduction moment and lateral trunk lean at time of first peak knee abduction moment were reduced with increased step width during stair ascent in both groups. Knee abduction moment variables were not different between knee osteoarthritis patients and healthy controls. Our findings suggest that increasing step width may be an effective simple gait alteration to reduce knee abduction moment variables in both knee osteoarthritis and healthy adults during stair ascent. However, long term effects of increasing step width during stair ascent in knee osteoarthritis and healthy adults remain unknown.

  20. The effect of modern total knee arthroplasty on muscle balance at the knee.

    PubMed

    Buford, William L; Ivey, F; Loveland, Dustin M; Flowers, Christopher W

    2009-01-01

    Total Knee Arthroplasty (TKA) may affect the muscles operating at the flexion/extension (FE) or internal /external rotation (IE) axes. This study tested the hypothesis that a modern posterior stabilizing TKA will change the mechanical balance of the knee joint by altering the moment arms of muscles acting about two separate axes of rotation. Moment arms were determined for the normal knee, the knee after resection of the Anterior Cruciate Ligament (the ACL - knee) and the knee after a PCL-sacrificing TKA. Five fresh cadaver hemi pelvis specimens were used with 5 posterior stabilizing prostheses (a single model available from one manufacturer). Moment arms for the individual muscle tendons were multiplied by the muscle's tension fraction (fractional physiological cross-sectional area [PCSA]) to estimate its potential for moment production relative to the other muscles at the knee, and this value was labeled as the muscle's moment potential. Unlike earlier studies that looked at TKA across many manufacturers' types, this study concluded that there were no significant differences in muscle balance when comparing the intact knee and the posterior stabilized TKA.

  1. Effect of center of pressure modulation on knee adduction moment in medial compartment knee osteoarthritis.

    PubMed

    Haim, Amir; Wolf, Alon; Rubin, Guy; Genis, Yulya; Khoury, Mona; Rozen, Nimrod

    2011-11-01

    The knee adduction moment (KAM) provides a major contribution to the elevated load in the medial compartment of the knee. An abnormally high KAM has been linked with the progression of knee osteoarthritis (OA). Footwear-generated biomechanical manipulations reduce the magnitude of this moment by conveying a more laterally shifted trajectory of the foot's center of pressure (COP), reducing the distance between the ground reaction force and the center of the knee joint, thus lowering the magnitude of the torque. We sought to examine the outcome of a COP shift in a cohort of female patients suffering from medial knee OA. Twenty-two female patients suffering from medial compartment knee OA underwent successive gait analysis testing and direct pedobarographic examination of the COP trajectory with a foot-worn biomechanical device allowing controlled manipulation of the COP. Modulation of the COP coronal trajectory from medial to lateral offset resulted in a significant reduction of the KAM. This trend was demonstrated in subjects with mild-to-moderate OA and in patients suffering from severe stages of the disease. Our results indicate that controlled manipulation of knee coronal kinetics in individuals suffering from medial knee OA can be facilitated by customized COP modification.

  2. 49 CFR 572.136 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... test is the part of the leg assembly shown in drawing 880105-560. (b)(1) When the knee assembly, consisting of sliding knee assembly (drawing 880105-528R or -528L), lower leg structural replacement (drawing 880105-603), lower leg flesh (drawing 880105-601), ankle assembly (drawing 880105-660), foot...

  3. 49 CFR 572.136 - Knees and knee impact test procedure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... test is the part of the leg assembly shown in drawing 880105-560. (b)(1) When the knee assembly, consisting of sliding knee assembly (drawing 880105-528R or -528L), lower leg structural replacement (drawing 880105-603), lower leg flesh (drawing 880105-601), ankle assembly (drawing 880105-660), foot...

  4. Can knees kneel? Kneeling ability after total, unicompartmental and patellofemoral knee arthroplasty.

    PubMed

    Hassaballa, M A; Porteous, A J; Newman, J H; Rogers, C A

    2003-06-01

    This study investigates patients' perception of kneeling ability before and at 1 and 2 years after total, unicompartmental knee replacement (UKR) and patellofemoral knee replacement (PFR), for osteoarthritis. Kneeling is an important function of the knee joint required for many daily activities and inability to kneel after knee surgery is a frequent cause of dissatisfaction. Data were prospectively collected on 253 knees. A kneeling score was obtained by analysis of the relevant section of the Oxford knee score. Scores were obtained pre-operatively and at 1 and 2 years post-operatively. Absolute values and change following surgery were recorded. Correlations with pain and other knee functions were also made. Kneeling ability prior to surgery was poor in all 3 groups (80% found it extremely difficult or impossible to kneel) and improved in all groups after surgery (20% had little or no difficulty to kneel at 2 years). Kneeling ability was best in UKR and worst in PFR. These results suggest that kneeling ability in osteoarthritic patients is poor but improves with knee arthroplasty surgery, however the majority of patients will still have difficulty in kneeling.

  5. The influence of joint line position on knee stability after condylar knee arthroplasty.

    PubMed

    Martin, J W; Whiteside, L A

    1990-10-01

    Using a special knee-testing device, ten knees obtained at autopsy were subjected to varus-valgus, anterior-posterior, and flexion-rotation analysis in the intact state and after total knee arthroplasty. The ten knees showed no significant change in stability after knee replacement when the joint line was maintained in its natural position. When the femoral component was repositioned 5 mm proximally and 5 mm anteriorly, a significant increase in laxity occurred during midflexion. When the joint line was shifted 5 mm distal and 5 mm posterior to its anatomic location, significant tightening occurred in midrange of motion. Coupled rotation of the tibia with knee flexion was decreased after surgery in all knees with no specific relationship to joint line position. Coupled rotation with varus-valgus testing, however, remained within the normal range through the first 30 degrees of flexion only when the joint line was restored to its normal anatomic position. Stability in condylar knee arthroplasty is in part dependent on position of the joint line. Surgical techniques that rely on restoring the flexion and extension gap without regard to joint line position may result in alteration of varus-valgus or anterior-posterior displacement in midrange flexion. PMID:2208849

  6. Rib stress fractures among rowers: definition, epidemiology, mechanisms, risk factors and effectiveness of injury prevention strategies.

    PubMed

    McDonnell, Lisa K; Hume, Patria A; Nolte, Volker

    2011-11-01

    velocity, sequential movement patterns, higher elbow-flexion to knee-extension strength ratios, higher seat-to-handle velocity during the initial drive, or higher shoulder angle excursion may result in RSF. Gearing may indirectly affect rib loading. Increased risk may be due to low calcium, low vitamin D, eating disorders, low testosterone or use of depot medroxyprogesterone injections. Injury management involves 1-2 weeks cessation of rowing with analgesic modalities followed by a slow return to rowing with low-impact intensity and modified pain-free training. Some evidence shows injury prevention strategies should focus on strengthening the serratus anterior, strengthening leg extensors, stretching the lumbar spine, increasing hip joint flexibility, reducing excessive protraction, training with ergometers on slides or floating-head ergometers, and calcium and vitamin D supplementation. Future research should focus on the epidemiology of RSF over 4-year Olympic cycles in elite rowers, the aetiology of the condition, and the effectiveness of RSF prevention strategies for injury incidence and performance in rowing. PMID:21985212

  7. An improved OpenSim gait model with multiple degrees of freedom knee joint and knee ligaments.

    PubMed

    Xu, Hang; Bloswick, Donald; Merryweather, Andrew

    2015-08-01

    Musculoskeletal models are widely used to investigate joint kinematics and predict muscle force during gait. However, the knee is usually simplified as a one degree of freedom joint and knee ligaments are neglected. The aim of this study was to develop an OpenSim gait model with enhanced knee structures. The knee joint in this study included three rotations and three translations. The three knee rotations and mediolateral translation were independent, with proximodistal and anteroposterior translations occurring as a function of knee flexion/extension. Ten elastic elements described the geometrical and mechanical properties of the anterior and posterior cruciate ligaments (ACL and PCL), and the medial and lateral collateral ligaments (MCL and LCL). The three independent knee rotations were evaluated using OpenSim to observe ligament function. The results showed that the anterior and posterior bundles of ACL and PCL (aACL, pACL and aPCL, pPCL) intersected during knee flexion. The aACL and pACL mainly provided force during knee flexion and adduction, respectively. The aPCL was slack throughout the range of three knee rotations; however, the pPCL was utilised for knee abduction and internal rotation. The LCL was employed for knee adduction and rotation, but was slack beyond 20° of knee flexion. The MCL bundles were mainly used during knee adduction and external rotation. All these results suggest that the functions of knee ligaments in this model approximated the behaviour of the physical knee and the enhanced knee structures can improve the ability to investigate knee joint biomechanics during various gait activities.

  8. Control implementation for the SPUR floating point coprocessor

    SciTech Connect

    Jensen, D.

    1987-01-01

    SPUR is a RISC-based multiprocessor workstation being designed to facilitate parallel-processing research. Typically, RISC architectures achieve low performance levels for floating-point intensive applications, as the multiple-cycle floating-point instructions are not implemented in the hardware. In an attempt to raise these performance levels, the SPUR system provides floating-point support through an extended instruction set and tightly-coupled floating-point coprocessor. This report documents the implementation of the control unit for this floating-point coprocessor; describing the coprocessor interface, control PLA definitions, the finite state machine, the dynamic cycle counter, the 4-stage load-store pipeline, and the random logic generated to drive the datapath modules. Implementation techniques and trade-offs are discussed; including design strategy, area and speed optimization, noise margin considerations, and delay balancing rf the datapath control signals for clock skew minimization. Finally, in an attempt to raise these performance levels, the SPUR system The chip is implemented in 2-layer-metal 2..mu..m CMOS technology, and uses a four-phase non-overlapping clock with a target cycle time of approximately 100ns - 140 ns.

  9. The melting of floating ice raises the ocean level

    NASA Astrophysics Data System (ADS)

    Noerdlinger, Peter D.; Brower, Kay R.

    2007-07-01

    It is shown that the melting of ice floating on the ocean will introduce a volume of water about 2.6 per cent greater than that of the originally displaced sea water. The melting of floating ice in a global warming will cause the ocean to rise. If all the extant sea ice and floating shelf ice melted, the global sea level would rise about 4cm. The sliding of grounded ice into the sea, however, produces a mean water level rise in two parts; some of the rise is delayed. The first part, while the ice floats, is equal to the volume of displaced sea water. The second part, equal to 2.6 per cent of the first, is contributed as it melts. These effects result from the difference in volume of equal weights of fresh and salt water. This component of sea rise is apparently unrecognized in the literature to date, although it can be interpreted as a form of halosteric sea level change by regarding the displaced salt water and the meltwater (even before melting) as a unit. Although salinity changes are known to affect sea level, all existing analyses omit our calculated volume change. We present a protocol that can be used to calculate global sea level rise on the basis of the addition of meltwater from grounded and floating ice; of course thermosteric volume change must be added.

  10. Enhanced integral imaging system using image floating technique

    NASA Astrophysics Data System (ADS)

    Min, Sung-Wook; Kim, Joohwan; Lee, Byoungho

    2005-09-01

    Enhanced integral imaging system based on the image floating method is proposed. The integral imaging is one of the most promising methods among the autostereoscopic displays and the integrated image has the volumetric characteristics unlike the other stereoscopic images. The image floating is a common 3D display technique, which uses a big convex lens or a concave mirror to exhibit the image of a real object to the observer. The image floating method can be used to emphasize the viewing characteristics of the volumetric image and the noise image which is located on the fixed plane can be eliminated by the floating lens through the control of the focal length. In this paper, the solution of the seam noise and the image flipping of the integral imaging system is proposed using the image floating method. Moreover, the advanced techniques of the integral imaging system can be directly applied to the proposed system. The proposed system can be successfully applied to many 3D applications such as 3D television.

  11. Preparation and evaluation of gastroretentive floating tablets of Silymarin.

    PubMed

    Garg, Rajeev; Gupta, Ghanshyam Das

    2009-06-01

    The present study performed by preparation and evaluation of floating tablets of Silymarin as model drug for prolongation of gastric residence time. Floating effervescent tablets were formulated by various materials like hydroxypropyl methylcellulose (HPMC) K 4M, K 15M, psyllium husk, swelling agent as crospovidone and microcrystalline cellulose and gas generating agent like sodium bicarbonate and citric acid and evaluated for floating properties, swelling characteristics and in vitro drug release studies. Floating noneffervescent tablets were prepared by polypropylene foam powder and different matrix forming polymers like HPMC K 4M, Carbopol 934P, xanthan gum and sodium alginate. In vitro drug release studies were performed and drug release kinetics evaluated using the linear regression method was found to follow both the Higuchi and the Korsemeyer and Peppas equation. The drug release mechanism was found fickian type in most of the formulations. The developed floating tablets of Silymarin may be used in clinic for prolonged drug release for at least 24 h, thereby improving the bioavailability and patient compliance.

  12. Evaluation of a knee-kicker bumper design for reducing knee morbidity among carpet layers.

    PubMed

    Huang, Wan-Fu; Wu, Chih-Fu

    2012-09-01

    Carpet layers have a high prevalence of occupational knee morbidity. One of the main causes is that they need to frequently 'kick' the bumper on the rear end of the knee kicker with one knee when laying a carpet. Considering the bumper's marked effects on kicking force transmission and safety, this study aims to improve the design of the knee-kicker bumper by reducing the risk factors. An improved pendulum-type impact-testing platform was designed as an evaluative apparatus, with the impulse and the coefficient of restitution serving as evaluative criteria. The newly developed bumper has improved firmness from drilled blind holes and an increase in effective forward force of 15%-138%, which implies lower operational demands and a lighter knee burden (i.e., less kicking energy results in the same work efficiency), and a softer contact surface that enhances operating comfort. The newly designed kicker was positively reviewed by subjects.

  13. Hydrodynamic and Aerodynamic Tests of Models of Floats for Single-float Seaplanes NACA Models 41-D, 41-E, 61-A, 73, and 73-A

    NASA Technical Reports Server (NTRS)

    Parkinson, J B; HOUSE R O

    1938-01-01

    Tests were made in the NACA tank and in the NACA 7 by 10 foot wind tunnel on two models of transverse step floats and three models of pointed step floats considered to be suitable for use with single float seaplanes. The object of the program was the reduction of water resistance and spray of single float seaplanes without reducing the angle of dead rise believed to be necessary for the satisfactory absorption of the shock loads. The results indicated that all the models have less resistance and spray than the model of the Mark V float and that the pointed step floats are somewhat superior to the transverse step floats in these respects. Models 41-D, 61-A, and 73 were tested by the general method over a wide range of loads and speeds. The results are presented in the form of curves and charts for use in design calculations.

  14. Molecular Epidemiology of Malaria

    PubMed Central

    Conway, David J.

    2007-01-01

    Malaria persists as an undiminished global problem, but the resources available to address it have increased. Many tools for understanding its biology and epidemiology are well developed, with a particular richness of comparative genome sequences. Targeted genetic manipulation is now effectively combined with in vitro culture assays on the most important human parasite, Plasmodium falciparum, and with in vivo analysis of rodent and monkey malaria parasites in their laboratory hosts. Studies of the epidemiology, prevention, and treatment of human malaria have already been influenced by the availability of molecular methods, and analyses of parasite polymorphisms have long had useful and highly informative applications. However, the molecular epidemiology of malaria is currently undergoing its most substantial revolution as a result of the genomic information and technologies that are available in well-resourced centers. It is a challenge for research agendas to face the real needs presented by a disease that largely exists in extremely resource-poor settings, but it is one that there appears to be an increased willingness to undertake. To this end, developments in the molecular epidemiology of malaria are reviewed here, emphasizing aspects that may be current and future priorities. PMID:17223628

  15. Phylogenetically resolving epidemiologic linkage

    DOE PAGESBeta

    Romero-Severson, Ethan O.; Bulla, Ingo; Leitner, Thomas

    2016-02-22

    The use of phylogenetic trees in epidemiological investigations has become commonplace, but their epidemiological interpretation has not been systematically evaluated. Here, we use an HIV-1 within-host coalescent model to probabilistically evaluate transmission histories of two epidemiologically linked hosts. Previous critique of phylogenetic reconstruction has claimed that direction of transmission is difficult to infer, and that the existence of unsampled intermediary links or common sources can never be excluded. The phylogenetic relationship between the HIV populations of epidemiologically linked hosts can be classified into six types of trees, based on cladistic relationships and whether the reconstruction is consistent with the truemore » transmission history or not. We show that the direction of transmission and whether unsampled intermediary links or common sources existed make very different predictions about expected phylogenetic relationships: (i) Direction of transmission can often be established when paraphyly exists, (ii) intermediary links can be excluded when multiple lineages were transmitted, and (iii) when the sampled individuals’ HIV populations both are monophyletic a common source was likely the origin. Inconsistent results, suggesting the wrong transmission direction, were generally rare. In addition, the expected tree topology also depends on the number of transmitted lineages, the sample size, the time of the sample relative to transmission, and how fast the diversity increases after infection. Typically, 20 or more sequences per subject give robust results. Moreover, we confirm our theoretical evaluations with analyses of real transmission histories and discuss how our findings should aid in interpreting phylogenetic results.« less

  16. Causality in epidemiology.

    PubMed

    Kamangar, Farin

    2012-10-01

    This article provides an introduction to the meaning of causality in epidemiology and methods that epidemiologists use to distinguish causal associations from non-causal ones. Alternatives to causal association are discussed in detail. Hill's guidelines, set forth approximately 50 years ago, and more recent developments are reviewed. The role of religious and philosophic views in our understanding of causality is briefly discussed.

  17. Epidemiology of Down Syndrome

    ERIC Educational Resources Information Center

    Sherman, Stephanie L.; Allen, Emily G.; Bean, Lora H.; Freeman, Sallie B.

    2007-01-01

    Down syndrome (DS) is the most commonly identified genetic form of mental retardation and the leading cause of specific birth defects and medical conditions. Traditional epidemiological studies to determine the prevalence, cause, and clinical significance of the syndrome have been conducted over the last 100 years. DS has been estimated to occur…

  18. Phylogenetically resolving epidemiologic linkage.

    PubMed

    Romero-Severson, Ethan O; Bulla, Ingo; Leitner, Thomas

    2016-03-01

    Although the use of phylogenetic trees in epidemiological investigations has become commonplace, their epidemiological interpretation has not been systematically evaluated. Here, we use an HIV-1 within-host coalescent model to probabilistically evaluate transmission histories of two epidemiologically linked hosts. Previous critique of phylogenetic reconstruction has claimed that direction of transmission is difficult to infer, and that the existence of unsampled intermediary links or common sources can never be excluded. The phylogenetic relationship between the HIV populations of epidemiologically linked hosts can be classified into six types of trees, based on cladistic relationships and whether the reconstruction is consistent with the true transmission history or not. We show that the direction of transmission and whether unsampled intermediary links or common sources existed make very different predictions about expected phylogenetic relationships: (i) Direction of transmission can often be established when paraphyly exists, (ii) intermediary links can be excluded when multiple lineages were transmitted, and (iii) when the sampled individuals' HIV populations both are monophyletic a common source was likely the origin. Inconsistent results, suggesting the wrong transmission direction, were generally rare. In addition, the expected tree topology also depends on the number of transmitted lineages, the sample size, the time of the sample relative to transmission, and how fast the diversity increases after infection. Typically, 20 or more sequences per subject give robust results. We confirm our theoretical evaluations with analyses of real transmission histories and discuss how our findings should aid in interpreting phylogenetic results. PMID:26903617

  19. Phylogenetically resolving epidemiologic linkage

    PubMed Central

    Romero-Severson, Ethan O.; Bulla, Ingo; Leitner, Thomas

    2016-01-01

    Although the use of phylogenetic trees in epidemiological investigations has become commonplace, their epidemiological interpretation has not been systematically evaluated. Here, we use an HIV-1 within-host coalescent model to probabilistically evaluate transmission histories of two epidemiologically linked hosts. Previous critique of phylogenetic reconstruction has claimed that direction of transmission is difficult to infer, and that the existence of unsampled intermediary links or common sources can never be excluded. The phylogenetic relationship between the HIV populations of epidemiologically linked hosts can be classified into six types of trees, based on cladistic relationships and whether the reconstruction is consistent with the true transmission history or not. We show that the direction of transmission and whether unsampled intermediary links or common sources existed make very different predictions about expected phylogenetic relationships: (i) Direction of transmission can often be established when paraphyly exists, (ii) intermediary links can be excluded when multiple lineages were transmitted, and (iii) when the sampled individuals’ HIV populations both are monophyletic a common source was likely the origin. Inconsistent results, suggesting the wrong transmission direction, were generally rare. In addition, the expected tree topology also depends on the number of transmitted lineages, the sample size, the time of the sample relative to transmission, and how fast the diversity increases after infection. Typically, 20 or more sequences per subject give robust results. We confirm our theoretical evaluations with analyses of real transmission histories and discuss how our findings should aid in interpreting phylogenetic results. PMID:26903617

  20. [Toxoplasmosis: Epidemiology, Diagnosis, Treatment].

    PubMed

    Khryanin, A A; Reshetnikov, O V; Kuvshinova, I N

    2015-01-01

    The up-to-date literature and original data on the epidemiology, diagnosis and treatment of toxoplasmosis are presented. Particular attention is paid to the parasite infection during pregnancy. Spiramycin is the drug of choice for acute toxoplasmosis in pregnant women.

  1. Epidemiology of Cardiovascular Diseases.

    ERIC Educational Resources Information Center

    Jenkins, C. David

    1988-01-01

    Reviews epidemiological studies of cardiovascular diseases especially coronary heart disease (CHD), to document their major public health importance, changes in mortality during this century, and international comparisons of trends. Finds major risk factors for CHD are determined in large part by psychosocial and behavioral mechanisms. Asserts…

  2. Annual Incidence of Knee Symptoms and Four Knee Osteoarthritis Outcomes in the Johnston County Osteoarthritis Project

    PubMed Central

    Murphy, Louise B; Moss, Susan; Do, Barbara T; Helmick, Charles G; Schwartz, Todd A.; Barbour, Kamil E; Renner, Jordan; Kalsbeek, William; Jordan, Joanne M

    2015-01-01

    Objective To estimate annual incidence rates (IR) of knee symptoms and four knee OA outcomes (radiographic, symptomatic, severe radiographic and severe symptomatic) overall and stratified by socio-demographic characteristics and knee OA risk factors. Methods We analyzed baseline [1991–1997] and first follow-up [1999–2003] data (n=1,518) from Johnston County Osteoarthritis Project. Participants are black and white adults ≥ 45 years living in Johnston County, North Carolina, US. Knee symptoms were pain, aching, or stiffness on most days in a knee. Radiographic OA was K-L grade ≥ 2 (severe radiographic ≥3) in at least one knee. Symptomatic OA was symptoms in a radiographically affected knee; severe symptomatic OA was severe symptoms and severe radiographic OA. Results The median follow-up time was 5.5 years. Average annual IRs were: symptoms=6%, radiographic OA=3%, symptomatic OA=2%, severe radiographic OA=2%, and severe symptomatic OA=0.8%. Across outcomes, IRs were highest among those with the following baseline characteristics: age ≥ 75 years; obese; a history of knee injury; or an annual household income ≤ $15,000. Conclusion The annual onset of knee symptoms and four OA outcomes in Johnston County was high. This may preview the future of knee OA in the US and underscores the urgency of clinical and public health collaborations that reduce risk factors for, and manage the impact of, these outcomes. Inexpensive, convenient and proven strategies (e.g., physical activity, self-management education courses) complement clinical care, and can reduce pain and improve quality of life for people with arthritis. PMID:26097226

  3. [Biomechanics of the knee joint].

    PubMed

    Witzel, U

    1993-01-01

    The capsular and ligamentous structures as control system of a healthy knee-joint supported by the muscular system are responsible for the rolling and gliding motion of the femoral condyles on the tibial plateau. Both the condyles and the tibial plateau have individually developed but to each other adjusted shapes and fine structures thereby. These structures consist of hyaline cartilage at their three-dimensional surfaces and of closely packed fibrils (lamina splendens) as the final gliding zone for tensile load. The orientation of the collagenous fibres can be made visible by split lines. The chondral surfaces are indirectly in contact to each other and orthogonally stressed at the particular point of contact. The indirect contact of the cartilaginous surfaces happens under interposition of the menisci. The meniscus serves to reduce and equalize the surface pressure by its own projected surface on the one hand and by maintaining of a hydraulic pressure of the synovial fluid on the other hand. Deviations of the condylar position as a result on ligamentous instabilities or ruptures with a following occurring loss of congruence, meniscal lesions or traumatic ruptures lead to a rapid discharge of the synovial fluid under load. The result is a hydraulic head loss with direct contact of the chondral surfaces under stress leading to arthrotic deformations. Severe arthrotic deformations or very much every meniscectomy produce intraarticular lumped loads resulting in a hyper-physiologic chondral pressure and malnutrition thereby. Further on there develop subchondral stress concentrations (caused by the lumped loads) leading to osseous damages, too. MR-pictures can make visible these damages. Chondromalacia, fissure or even chondrolysis are arthroscopically detectable sometimes. As after-effects of deficient knee ligaments occur pathological deviations of the femoral condyles and resulting destructions of the articular surfaces under stress enormously intensified by

  4. Isokinetic torque levels in hemophiliac knee musculature.

    PubMed

    Strickler, E M; Greene, W B

    1984-12-01

    The purposes of this study were to 1) measure peak torques generated by knee extensors and flexors in hemophilia patients; 2) describe flexor to extensor; 3) record the point in the arc of motion where peak torque was achieved; 4) correlate results with age, degree of hemophilic arthropathy, and presence of flexion contracture; and 5) compare results with reports on healthy subjects. Forty-seven patients (94 knees) with severe hemophilia were tested with a Cybex II isokinetic dynamometer at a speed of 30 degrees per second. Height, weight, thigh girths, and passive knee range of motion were recorded. Standing roentgenograms of the knee were evaluated to assess degree of arthropathy. Subjects were divided into groups by age and degree of arthropathy. Descriptive statistics were generated for all groups. Average peak extensor and flexor torque was similar for adolescents and adults. Increasing degree of arthropathy was associated with significant decreases in both extensor and flexor torque, an increase in flexor to extensor ratios and increasing knee flexion contractures. Across all groups, flexor to extensor ratios were abnormally high, particularly in patients with type IV arthropathy. The point in arc of motion where peak torques occurred did not differ significantly across groups and compared favorably with measures reported in the literature. For all ages, mean peak extensor and flexor torques were less than values reported in the literature for healthy subjects. Results of this study demonstrate the profound decrease in torque produced by knee musculature in hemophilia patients, particularly those with more severe arthropathy and knee flexion deformity.

  5. Seismic monitoring in the oceans by autonomous floats.

    PubMed

    Sukhovich, Alexey; Bonnieux, Sébastien; Hello, Yann; Irisson, Jean-Olivier; Simons, Frederik J; Nolet, Guust

    2015-01-01

    Our understanding of the internal dynamics of the Earth is largely based on images of seismic velocity variations in the mantle obtained with global tomography. However, our ability to image the mantle is severely hampered by a lack of seismic data collected in marine areas. Here we report observations made under different noise conditions (in the Mediterranean Sea, the Indian and Pacific Oceans) by a submarine floating seismograph, and show that such floats are able to fill the oceanic data gap. Depending on the ambient noise level, the floats can record between 35 and 63% of distant earthquakes with a moment magnitude M≥6.5. Even magnitudes <6.0 can be successfully observed under favourable noise conditions. The serendipitous recording of an earthquake swarm near the Indian Ocean triple junction enabled us to establish a threshold magnitude between 2.7 and 3.4 for local earthquakes in the noisiest of the three environments. PMID:26289598

  6. Expanded polystyrene (EPS) floats for surveillance of Ochlerotatus japonicus.

    PubMed

    Scott, Jamesina J; Crans, Wayne J

    2003-12-01

    Blocks of expanded polystyrene (EPS) were placed in a variety of habitats to investigate their potential as an egg-collection device for container-dwelling Aedes and Ochlerotatus species. Eggs from Ochlerotatus japonicus, Oc. triseriatus, Oc. hendersoni, and Aedes albopictus were collected with EPS floats. The float provides an inexpensive, low-maintenance alternative to the Centers for Disease Control ovitrap for sampling container-dwelling mosquito species that are important vectors of disease. Eggs collected on the floats have many potential applications, including use in routine population surveillance; detection of Oc. japonicus, Ae. albopictus, and other container-dwelling species in new areas; species distribution studies; natural transovarial transmission studies; ovipositional studies; collection of local field populations for insecticide resistance assays; assessment of adulticiding efficacy; and establishment of new laboratory colonies.

  7. The Stiller-Smith Engine: Floating gear analysis

    SciTech Connect

    Craven, R.; Smith, J.E.; Butler, S.

    1987-01-01

    The Stiller-Smith Engine employs a non-standard gear train and as such requires a closer examination of the design and sizing of the gears. To accomplish this the motion of the Stiller-Smith gear train is compared to more familiar arrangements. The results of a kinematic and dynamic analysis introduce the irregular forces that the gears are subjected to. The ''floating'' or ''trammel'' gear is examined more closely, first stochastically and then with finite element analysis. This pinpoints high stress concentrations on the gear and where they occur during the engine cycle. The configuration considered is an output shaft, negligible idler gear forces, and floating gear pins that are part of the connecting rods rather than the floating gear. Various loading techniques are discussed with possible ramifications of each.

  8. Numerical simulation of a floating buoy in surface waves

    NASA Astrophysics Data System (ADS)

    Altazin, Thomas; Golay, Frédéric; Fraunié, Philippe

    2016-04-01

    A numerical method based on volumic penalization is developed to track a floating body in a two phase flows (air and water). Fast computations on parallel computer are performed thanks to an adaptative mesh refinement following a numerical entropy criterion together with a variable time step depending on the mesh size. Applications concern the motion of a floating buoy in a surface wave field and the induced perturbation of the wave and atmospheric fields by the buoy. Presented cases concern a breaking wave and a second order Stokes wave as initial conditions. Acknowledgements : This research was supported by the Modtercom and CHEF projects of Region PACA, when applications on windage of floating buoys are related to the SUBCORAD LEFE-INSU project.

  9. Floating plastic debris in the Central and Western Mediterranean Sea.

    PubMed

    Ruiz-Orejón, Luis F; Sardá, Rafael; Ramis-Pujol, Juan

    2016-09-01

    In two sea voyages throughout the Mediterranean (2011 and 2013) that repeated the historical travels of Archduke Ludwig Salvator of Austria (1847-1915), 71 samples of floating plastic debris were obtained with a Manta trawl. Floating plastic was observed in all the sampled sites, with an average weight concentration of 579.3 g dw km(-2) (maximum value of 9298.2 g dw km(-2)) and an average particle concentration of 147,500 items km(-2) (the maximum concentration was 1,164,403 items km(-2)). The plastic size distribution showed microplastics (<5 mm) in all the samples. The most abundant particles had a surface area of approximately 1 mm(2) (the mesh size was 333 μm). The general estimate obtained was a total value of 1455 tons dw of floating plastic in the entire Mediterranean region, with various potential spatial accumulation areas. PMID:27540696

  10. Seismic monitoring in the oceans by autonomous floats

    NASA Astrophysics Data System (ADS)

    Sukhovich, Alexey; Bonnieux, Sébastien; Hello, Yann; Irisson, Jean-Olivier; Simons, Frederik J.; Nolet, Guust

    2015-08-01

    Our understanding of the internal dynamics of the Earth is largely based on images of seismic velocity variations in the mantle obtained with global tomography. However, our ability to image the mantle is severely hampered by a lack of seismic data collected in marine areas. Here we report observations made under different noise conditions (in the Mediterranean Sea, the Indian and Pacific Oceans) by a submarine floating seismograph, and show that such floats are able to fill the oceanic data gap. Depending on the ambient noise level, the floats can record between 35 and 63% of distant earthquakes with a moment magnitude M>=6.5. Even magnitudes <6.0 can be successfully observed under favourable noise conditions. The serendipitous recording of an earthquake swarm near the Indian Ocean triple junction enabled us to establish a threshold magnitude between 2.7 and 3.4 for local earthquakes in the noisiest of the three environments.

  11. Seismic monitoring in the oceans by autonomous floats

    PubMed Central

    Sukhovich, Alexey; Bonnieux, Sébastien; Hello, Yann; Irisson, Jean-Olivier; Simons, Frederik J.; Nolet, Guust

    2015-01-01

    Our understanding of the internal dynamics of the Earth is largely based on images of seismic velocity variations in the mantle obtained with global tomography. However, our ability to image the mantle is severely hampered by a lack of seismic data collected in marine areas. Here we report observations made under different noise conditions (in the Mediterranean Sea, the Indian and Pacific Oceans) by a submarine floating seismograph, and show that such floats are able to fill the oceanic data gap. Depending on the ambient noise level, the floats can record between 35 and 63% of distant earthquakes with a moment magnitude M≥6.5. Even magnitudes <6.0 can be successfully observed under favourable noise conditions. The serendipitous recording of an earthquake swarm near the Indian Ocean triple junction enabled us to establish a threshold magnitude between 2.7 and 3.4 for local earthquakes in the noisiest of the three environments. PMID:26289598

  12. Organic nano-floating-gate transistor memory with metal nanoparticles

    NASA Astrophysics Data System (ADS)

    Van Tho, Luu; Baeg, Kang-Jun; Noh, Yong-Young

    2016-04-01

    Organic non-volatile memory is advanced topics for various soft electronics applications as lightweight, low-cost, flexible, and printable solid-state data storage media. As a key building block, organic field-effect transistors (OFETs) with a nano-floating gate are widely used and promising structures to store digital information stably in a memory cell. Different types of nano-floating-gates and their various synthesis methods have been developed and applied to fabricate nanoparticle-based non-volatile memory devices. In this review, recent advances in the classes of nano-floating-gate OFET memory devices using metal nanoparticles as charge-trapping sites are briefly reviewed. Details of device fabrication, characterization, and operation mechanisms are reported based on recent research activities reported in the literature.

  13. Numerical modelling of floating debris in the world's oceans.

    PubMed

    Lebreton, L C-M; Greer, S D; Borrero, J C

    2012-03-01

    A global ocean circulation model is coupled to a Lagrangian particle tracking model to simulate 30 years of input, transport and accumulation of floating debris in the world ocean. Using both terrestrial and maritime inputs, the modelling results clearly show the formation of five accumulation zones in the subtropical latitudes of the major ocean basins. The relative size and concentration of each clearly illustrate the dominance of the accumulation zones in the northern hemisphere, while smaller seas surrounded by densely populated areas are also shown to have a high concentration of floating debris. We also determine the relative contribution of different source regions to the total amount of material in a particular accumulation zone. This study provides a framework for describing the transport, distribution and accumulation of floating marine debris and can be continuously updated and adapted to assess scenarios reflecting changes in the production and disposal of plastic worldwide.

  14. Research of design challenges and new technologies for floating LNG

    NASA Astrophysics Data System (ADS)

    Lee, Dong-Hyun; Ha, Mun-Keun; Kim, Soo-Young; Shin, Sung-Chul

    2014-06-01

    With the rate of worldwide LNG demand expected to grow faster than that of gas demand, most major oil companies are currently investing their resources to develop floating LNG-FLNG (i.e. LNG FSRU and LNG FPSO). The global Floating LNG (FLNG) market trend will be reviewed based on demand and supply chain relationships. Typical technical issues associated with FLNG design are categorized in terms of global performance evaluation. Although many proven technologies developed through LNG carrier and oil FPSO projects are available for FLNG design, we are still faced with several technical challenges to clear for successful FLNG projects. In this study, some of the challenges encountered during development of the floating LNG facility (i.e. LNG FPSO and FSRU) will be reviewed together with their investigated solution. At the same time, research of new LNG-related technologies such as combined containment system will be presented.

  15. Investigation of field induced trapping on floating gates

    NASA Technical Reports Server (NTRS)

    Gosney, W. M.

    1975-01-01

    The development of a technology for building electrically alterable read only memories (EAROMs) or reprogrammable read only memories (RPROMs) using a single level metal gate p channel MOS process with all conventional processing steps is outlined. Nonvolatile storage of data is achieved by the use of charged floating gate electrodes. The floating gates are charged by avalanche injection of hot electrodes through gate oxide, and discharged by avalanche injection of hot holes through gate oxide. Three extra diffusion and patterning steps are all that is required to convert a standard p channel MOS process into a nonvolatile memory process. For identification, this nonvolatile memory technology was given the descriptive acronym DIFMOS which stands for Dual Injector, Floating gate MOS.

  16. Floating zone crystal growth and phase equilibria - A review

    NASA Astrophysics Data System (ADS)

    Kimura, Shigeyuki; Kitamura, Kenji

    1992-06-01

    The thermal-imaging floating zone technique can be used to grow crystals of yttrium iron garnet aluminum-doped yttrium orthoferrite and magnetite, which represent peritectic compounds, solid-solution crytals, and atmosphere-sensitive materials, respectively. The reactions involved in floating zone crystal growth are explained on the basis of phase diagrams. A review of crystal growth reports, including unpublished findings by the present authors, demonstrates how the crystallization processes, the reaction with the ambient atmosphere, and the composition variation in the obtained crystals can be explained or controlled on the basis of phase equilibrium. The floating zone technique is applicable to a variety of materials and remains a handy tool for materials research; however, its industrial application may be limited.

  17. Seismic monitoring in the oceans by autonomous floats.

    PubMed

    Sukhovich, Alexey; Bonnieux, Sébastien; Hello, Yann; Irisson, Jean-Olivier; Simons, Frederik J; Nolet, Guust

    2015-08-20

    Our understanding of the internal dynamics of the Earth is largely based on images of seismic velocity variations in the mantle obtained with global tomography. However, our ability to image the mantle is severely hampered by a lack of seismic data collected in marine areas. Here we report observations made under different noise conditions (in the Mediterranean Sea, the Indian and Pacific Oceans) by a submarine floating seismograph, and show that such floats are able to fill the oceanic data gap. Depending on the ambient noise level, the floats can record between 35 and 63% of distant earthquakes with a moment magnitude M≥6.5. Even magnitudes <6.0 can be successfully observed under favourable noise conditions. The serendipitous recording of an earthquake swarm near the Indian Ocean triple junction enabled us to establish a threshold magnitude between 2.7 and 3.4 for local earthquakes in the noisiest of the three environments.

  18. Float-zone processing in a weightless environment

    NASA Technical Reports Server (NTRS)

    Fowle, A. A.; Haggerty, J. S.; Perron, R. R.; Strong, P. F.; Swanson, J. L.

    1976-01-01

    The results were reported of investigations to: (1) test the validity of analyses which set maximum practical diameters for Si crystals that can be processed by the float zone method in a near weightless environment, (2) determine the convective flow patterns induced in a typical float zone, Si melt under conditions perceived to be advantageous to the crystal growth process using flow visualization techniques applied to a dimensionally scaled model of the Si melt, (3) revise the estimates of the economic impact of space produced Si crystal by the float zone method on the U.S. electronics industry, and (4) devise a rational plan for future work related to crystal growth phenomena wherein low gravity conditions available in a space site can be used to maximum benefit to the U.S. electronics industry.

  19. Parallel finite element simulation of mooring forces on floating objects

    NASA Astrophysics Data System (ADS)

    Aliabadi, S.; Abedi, J.; Zellars, B.

    2003-03-01

    The coupling between the equations governing the free-surface flows, the six degrees of freedom non-linear rigid body dynamics, the linear elasticity equations for mesh-moving and the cables has resulted in a fluid-structure interaction technology capable of simulating mooring forces on floating objects. The finite element solution strategy is based on a combination approach derived from fixed-mesh and moving-mesh techniques. Here, the free-surface flow simulations are based on the Navier-Stokes equations written for two incompressible fluids where the impact of one fluid on the other one is extremely small. An interface function with two distinct values is used to locate the position of the free-surface. The stabilized finite element formulations are written and integrated in an arbitrary Lagrangian-Eulerian domain. This allows us to handle the motion of the time dependent geometries. Forces and momentums exerted on the floating object by both water and hawsers are calculated and used to update the position of the floating object in time. In the mesh moving scheme, we assume that the computational domain is made of elastic materials. The linear elasticity equations are solved to obtain the displacements for each computational node. The non-linear rigid body dynamics equations are coupled with the governing equations of fluid flow and are solved simultaneously to update the position of the floating object. The numerical examples includes a 3D simulation of water waves impacting on a moored floating box and a model boat and simulation of floating object under water constrained with a cable.

  20. Planted floating bed performance in treatment of eutrophic river water.

    PubMed

    Bu, Faping; Xu, Xiaoyi

    2013-11-01

    The objective of the study was to treat eutrophic river water using floating beds and to identify ideal plant species for design of floating beds. Four parallel pilot-scale units were established and vegetated with Canna indica (U1), Accords calamus (U2), Cyperus alternifolius (U3), and Vetiveria zizanioides (U4), respectively, to treat eutrophic river water. The floating bed was made of polyethylene foam, and plants were vegetated on it. Results suggest that the floating bed is a viable alternative for treating eutrophic river water, especially for inhibiting algae growth. When the influent chemical oxygen demand (COD) varied from 6.53 to 18.45 mg/L, total nitrogen (TN) from 6.82 to 12.25 mg/L, total phosphorus (TP) from 0.65 to 1.64 mg/L, and Chla from 6.22 to 66.46 g/m(3), the removal of COD, TN, TP, and Chla was 15.3%-38.4%, 25.4%-48.4%, 16.1%-42.1%, and 29.9 %-88.1%, respectively. Ranked by removal performance, U1 was best, followed by U2, U3, and U4. In the floating bed, more than 60% TN and TP were removed by sedimentation; plant uptake was quantitatively of low importance with an average removal of 20.2% of TN and 29.4% of TP removed. The loss of TN (TP) was of the least importance. Compared with the other three, U1 exhibited better dissolved oxygen (DO) gradient distributions, higher DO levels, higher hydraulic efficiency, and a higher percentage of nutrient removal attributable to plant uptake; in addition, plant development and the volume of nutrient storage in the C. indica tissues outperformed the other three species. C. indica thus could be selected when designing floating beds for the Three Gorges Reservoir region of P. R. China. PMID:23737127